Individual
JARED ROGER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
43490 YUKON DR STE 212, ASHBURN, VA 20147-7326
(703) 729-7920
(703) 729-7923
Mailing address
170 PARKVIEW AVE, BANGOR, ME 04401-4062
(207) 812-8802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215215
VA
225100000X
Physical Therapist
PT6217
ME
Other
Enumeration date
05/15/2022
Last updated
08/26/2022
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