Individual
STACIE R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 SE MILE HILL DR, SUITE B-23, PORT ORCHARD, WA 98366-3521
(360) 633-6735
Mailing address
3300 SE WINDSOR CT, PORT ORCHARD, WA 98366-5850
(360) 633-6735
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60255070
WA
Other
Enumeration date
11/15/2011
Last updated
01/29/2012
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