Individual
JASON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 SEMINOLE CANYON DR, GEORGETOWN, TX 78628-7193
(512) 843-4122
Mailing address
112 SEMINOLE CANYON DR, GEORGETOWN, TX 78628-7193
(502) 528-3387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2116921
TX
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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