Individual
CANDACE MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3266 FLUVANNA AVENUE EXT, FLUVANNA, NY 14701-9706
(716) 708-6179
Mailing address
3266 FLUVANNA AVENUE EXT, FLUVANNA, NY 14701-9706
(716) 708-6179
(866) 902-1160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02650273
—
NY
Enumeration date
07/27/2006
Last updated
08/31/2023
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