Individual
MRS. JENNIFER NICOLE BROWN
Active
Individual
MRS. JENNIFER NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT002737
WV
225100000X
Physical Therapist
Primary
PT012051
OH
225100000X
Physical Therapist
PT019051
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT002737
LICENSE #
WV
01
—
PT012051
LICENSE NUMBER
OH
01
—
PT019051
LICENSE #
PA
Enumeration date
11/18/2008
Last updated
04/30/2018
Update your record
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