Organization
JEREMIAH BROWN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMIAH RAY BROWN OTR/L (PRESIDENT)
(405) 641-3651
Entity
Organization
Contact information
Practice address
3945 24TH AVE SE APT 1, NORMAN, OK 73071-0817
(405) 641-3651
Mailing address
3945 24TH AVE SE APT 1, NORMAN, OK 73071-0817
(405) 641-3651
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1728
OK
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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