Individual
DR. DUSTIN RICHARD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11808 GRANT ST, #100, OMAHA, NE 68164-3613
(877) 230-3885
Mailing address
9364 PORTER RD, RYLAND HGHT, KY 41015-9582
(859) 466-3005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005873
KY
225100000X
Physical Therapist
PT 31192
FL
225100000X
Physical Therapist
PTL.0014248
CO
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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