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Individual

ANDREW LOREN BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
14 WALL ST, JEFFERSON, OH 44047-1138
(440) 576-0043
(440) 576-0187
Mailing address
14 WALL ST, JEFFERSON, OH 44047-1138
(440) 576-0043
(440) 576-0187

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-007159
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000517517
BLUE CROSS BLUE SHIELD
OH
05
2745935
OH
01
P00415098
RAILROAD MEDICARE
OH
Enumeration date
11/22/2006
Last updated
08/29/2025
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