Individual
LISA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 W COMMERCIAL BLVD, TAMARAC, FL 33319-2115
(352) 382-1141
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1799
FL
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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