Individual
MS. AZURE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5602 GREENWICH DR, GREENSBORO, NC 27410-1921
(773) 875-5148
Mailing address
5602 GREENWICH DR, GREENSBORO, NC 27410-1921
(773) 875-5148
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7617
NC
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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