Individual
ALBERT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
527 MEMORIAL DR, POCATELLO, ID 83201-4063
(208) 478-3343
Mailing address
527 MEMORIAL DR, POCATELLO, ID 83201-4063
(208) 478-3343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1993
ID
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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