Individual
MR. PETER EVAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(180) 092-6456
Mailing address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(180) 092-6456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
9300
NC
224ZL0004X
Low Vision Occupational Therapy Assistant
Primary
9300
NC
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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