Individual
KATIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2901 E BARNETT RD, MEDFORD, OR 97504-8308
(541) 779-4221
Mailing address
1822 BIRCH AVE, LEWISTON, ID 83501-6053
(406) 291-8746
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10173
OR
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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