Individual
MRS. JACEY RACHEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
472 FALL RIVER LN, SAINT CHARLES, MO 63304-8501
(636) 439-8451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023001116
MO
2251X0800X
Orthopedic Physical Therapist
Primary
PT 4155
AR
Other
Enumeration date
05/17/2016
Last updated
06/03/2026
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