Individual
SHELLEY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MARION ST STE 306, SHELBY, NC 28150-5094
(704) 807-5699
Mailing address
16820 MACANTHRA DR, CHARLOTTE, NC 28213-4879
(704) 807-5699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#680
NCBPTE
NC
Enumeration date
06/19/2014
Last updated
06/19/2014
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