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NPI Code Detail

MEDICARE: ADAM STEVEN BROWN PHYSICAL THERAPIST

MEDICARE:   ADAM STEVEN BROWN  PHYSICAL THERAPIST
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 TherapistPTL8371CO
2225100000XPhysical TherapistPT00009116WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10206627OTHERWAL&I PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992755417
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM STEVEN BROWN PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : PO BOX 3649
Second Line :
City : SPOKANE
State : WA
Zip : 99220-3649
Country : US
Telephone Number : 509-838-2531
Fax Number :
Provider Business Practice Location Address
First Line : 1326 N STANFORD LN
Second Line :
City : LIBERTY LAKE
State : WA
Zip : 99019-5034
Country : US
Telephone Number : 509-838-2531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 12/12/2011

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Directions to “ ADAM STEVEN BROWN PHYSICAL THERAPIST” Practice Location

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