Individual
MR. LARRY GENE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
16655 SE 136TH ST, RENTON, WA 98059-6950
(425) 837-4914
(425) 837-4883
Mailing address
32213 7TH AVE SW, FEDERAL WAY, WA 98023-5523
(253) 988-4323
(425) 837-4883
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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