Individual
MONIQUE SHAWNTAE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 S ALAFAYA TRL STE 101, ORLANDO, FL 32828-8926
(407) 277-5400
Mailing address
918 WOODGATE TRL, LONGWOOD, FL 32750-2989
(321) 439-5481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10815
FL
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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