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Individual

ANGELA JEWELL BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
602 VONDERBURG DR, 201, BRANDON, FL 33511-5900
(863) 617-9400
Mailing address
6403 N 48TH ST, TAMPA, FL 33610-3943
(813) 767-1372

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
00003752
WA
225X00000X
Occupational Therapist
7917
CA
225X00000X
Occupational Therapist
Primary
9797
FL

Other

Enumeration date
05/31/2007
Last updated
03/06/2015
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