Individual
BONNIE RAE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
823 N LIMESTONE ST, SPRINGFIELD, OH 45503-3609
(937) 717-4828
(937) 717-6539
Mailing address
1450 E US HIGHWAY 36, URBANA, OH 43078-9112
(937) 653-7333
(937) 652-4574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014361
OH
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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