Individual
MRS. REGINA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
374 E. GRAND AVE., SIUC STUDENT HEALTH CENTER, CARBONDALE, IL 62901
(618) 453-6140
(618) 453-4290
Mailing address
374 E. GRAND AVE., SIUC STUDENT HEALTH CENTER, CARBONDALE, IL 62901
(618) 453-6140
(618) 453-4290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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