Individual
BLAKE WILLIAM BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
312 GRAMMONT ST STE 302, MONROE, LA 71201-7403
(318) 323-6603
(318) 387-3601
Mailing address
312 GRAMMONT ST STE 302, MONROE, LA 71201-7403
(318) 323-6603
(318) 387-3601
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
08836
LA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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