Individual
JOHN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, CSCS
Contact information
Practice address
1633 S VIRGINIA AVE, ATOKA, OK 74525-3901
(580) 364-7090
Mailing address
1633 S VIRGINIA AVE, ATOKA, OK 74525-3901
(580) 364-7090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2841
OK
Other
Enumeration date
06/19/2014
Last updated
02/03/2021
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