Individual
LAURA L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-2166
(706) 774-7542
Mailing address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-2166
(706) 774-7542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1719
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446155635A
—
GA
Enumeration date
10/07/2005
Last updated
04/10/2013
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