Individual
DESTINY TERRIONA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 W OAK AVE, PLANT CITY, FL 33563-7222
(813) 754-3761
Mailing address
4729 DUNQUIN PL, TAMPA, FL 33610-9101
(813) 601-6498
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18823
FL
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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