Individual
DEREK BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
39 W MAIN ST, CANTON, NY 13617-1358
(315) 379-4700
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006112
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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