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Individual

GLENDA M. BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
430 WEST CLEVELAND RD., APARTMENT B23, GRANGER, IN 46545
(574) 243-9640
(574) 243-9640
Mailing address
54658 OAK LEAF CT, MISHAWAKA, IN 46545-1862
(574) 255-4840
(574) 255-4840

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003216-A
IN

Other

Enumeration date
11/15/2006
Last updated
12/12/2007
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