Individual
KRISTOPHER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CF LVL 1, USAW COACH
Contact information
Practice address
1309 S KILLIAN DR UNIT A, LAKE PARK, FL 33403-1954
(561) 856-0908
Mailing address
6467 CHASEWOOD DR APT G, JUPITER, FL 33458-5832
(561) 856-0908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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