Individual
DEANDRA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1301 W GOVERNMENT ST STE 104, BRANDON, MS 39042-3196
(601) 591-7535
(601) 591-7540
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OT3950
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3950
OT LICENSE
MS
Enumeration date
08/10/2022
Last updated
08/10/2022
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