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NPI Code Detail

MEDICARE: JOSHUA MATTHEW BROWN PT, DPT

MEDICARE: JOSHUA MATTHEW BROWN PT, DPT
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
1225100000XPhysical Therapist1251338TX
2225100000XPhysical Therapist15075NC
3225100000XPhysical TherapistPT024700PA

General Provider Information

NPI Number : 1851789572
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA MATTHEW BROWN PT, DPT
Provider Business Mailing Address
First Line : 118 CASTLE COVE LN
Second Line :
City : CASTLE HAYNE
State : NC
Zip : 28429-5176
Country : US
Telephone Number : 814-977-1363
Fax Number :
Provider Business Practice Location Address
First Line : 3120 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4309
Country : US
Telephone Number : 814-949-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2015
Last Update Date : 07/13/2020

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