Individual
KELLEY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 TALBOTTON RD, COLUMBUS, GA 31904-8745
(706) 322-2511
Mailing address
5682 ARROWHEAD RD, FORT BENNING, GA 31905-1954
(410) 596-1434
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003465
GA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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