Individual
JOHNATHAN ADAM BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
ONE CHOCTAW WAY, TALIHINA, OK 74571
(918) 567-7000
(918) 567-7119
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7119
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1197
OK
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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