Individual
HEATHER M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A., A.T.C.
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 103, LAKEWOOD, WA 98499-8000
(253) 582-8142
Mailing address
8519 49TH ST W, UNIVERSITY PLACE, WA 98467-1809
(562) 355-1596
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
P1 60033055
WA
2255A2300X
Athletic Trainer
Primary
A1 60030256
WA
Other
Enumeration date
08/28/2006
Last updated
01/28/2011
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