Individual
MRS. LORI RACHEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1302 VALDOSTA DR, FORT WAYNE, IN 46825-3526
(260) 489-1628
(260) 489-1628
Mailing address
1302 VALDOSTA DR, FORT WAYNE, IN 46825-3526
(260) 489-1628
(260) 489-1628
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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