Individual
CHASITY NICOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-2891
Mailing address
1478 RUNA RD, MOUNT NEBO, WV 26679-9350
(304) 890-4593
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002467
WV
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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