Individual
SAMANTHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 E MARKET ST, WARREN, OH 44483-6204
(330) 394-8282
Mailing address
2222 HYDE SHAFFER RD, BRISTOLVILLE, OH 44402-9771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00421
LICENSE#
OH
Enumeration date
01/05/2007
Last updated
07/08/2007
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