Individual
DELLA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 N 13TH ST, TERRE HAUTE, IN 47804-1236
(812) 460-1400
(812) 460-1402
Mailing address
3212 N 13TH ST, TERRE HAUTE, IN 47804-1236
(812) 460-1400
(812) 460-1402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21706249
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT21706249
LICENSED MASSAGE THERAPIST
IN
Enumeration date
12/20/2019
Last updated
12/20/2019
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