Individual
CHARITY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
Mailing address
7426 GINGKO AVE, LAKELAND, FL 33810-4159
(863) 226-8357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA015858
FL
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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