Individual
MR. GARY ALAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
195 TOPAZ CIR, CANFIELD, OH 44406-9677
(330) 519-1308
(330) 533-0282
Mailing address
195 TOPAZ CIR, CANFIELD, OH 44406-9677
(330) 519-1308
(330) 533-0282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT04074
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003222666
ANTHEM
OH
01
—
287663668006
MEDICAL MUTUAL
OH
Enumeration date
10/23/2006
Last updated
07/08/2007
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