Individual
MR. DOUGLAS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1188 W UNIVERSITY DR, BOISE, ID 83706-3009
(208) 345-4446
Mailing address
1188 W UNIVERSITY DR, BOISE, ID 83706-3009
(208) 345-4446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-4140
ID
Other
Enumeration date
08/18/2015
Last updated
04/26/2017
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