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Individual

KATIE BROOKS BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(615) 542-2168
Mailing address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(615) 542-2168

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5436
TN
225XP0200X
Pediatric Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q021921
TN
Enumeration date
06/07/2016
Last updated
05/19/2023
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