Individual
JUSTIN JAMAL ANTHONY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1612 HYDRANGEA DR, PHENIX CITY, AL 36867-7502
(219) 455-3969
(219) 455-3969
Mailing address
1612 HYDRANGEA DR, PHENIX CITY, AL 36867-7502
(219) 455-3969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7547
SC
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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