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NPI Code Detail

MEDICARE: KIMBERLY BROWN

MEDICARE:   KIMBERLY  BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant10776AAZ

General Provider Information

NPI Number : 1134590540
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY BROWN
Provider Business Mailing Address
First Line : 11910 W ORANGE GROVE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85743-7669
Country : US
Telephone Number : 520-269-1204
Fax Number :
Provider Business Practice Location Address
First Line : 1119 E RANCHO VISTOSO BLVD
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-9106
Country : US
Telephone Number : 520-433-4773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2015
Last Update Date : 10/12/2015

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Directions to “ KIMBERLY BROWN ” Practice Location

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