Individual
DERICK X BROWNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
229 RED COACH DR STE 106, MISHAWAKA, IN 46545-3195
(574) 318-7800
(574) 318-7839
Mailing address
229 RED COACH DR STE 106, MISHAWAKA, IN 46545-3195
(574) 318-7800
(574) 318-7839
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901876
IN
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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