Individual
BRISTEN NIKAIL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(918) 453-5673
Mailing address
305 N MEIGS ST, FORT GIBSON, OK 74434-8381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3361
OK
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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