Healthcare Provider Details

I. General information

NPI: 1073245148
Provider Name (Legal Business Name): ALLYN K BROWN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 RIVERSIDE AVE
PASO ROBLES CA
93446-1730
US

IV. Provider business mailing address

1421 RIVERSIDE AVE
PASO ROBLES CA
93446-1730
US

V. Phone/Fax

Practice location:
  • Phone: 805-239-1202
  • Fax: 805-239-1222
Mailing address:
  • Phone: 805-239-1202
  • Fax: 805-239-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: