Individual
CONNOR BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2422 12TH AVE RD, NAMPA, ID 83686-6300
(208) 466-0566
(208) 697-5213
Mailing address
2422 12TH AVE RD, NAMPA, ID 83686-6300
(208) 466-0566
(208) 697-5213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7247
ID
Other
Enumeration date
05/07/2021
Last updated
01/05/2023
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