Healthcare Provider Details

I. General information

NPI: 1134368749
Provider Name (Legal Business Name): ERIN LYNN BROWN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 GREAT OAKS BLVD
SAN JOSE CA
95119-1381
US

IV. Provider business mailing address

2200 AGNEW RD APT 105
SANTA CLARA CA
95054-1502
US

V. Phone/Fax

Practice location:
  • Phone: 408-361-2100
  • Fax:
Mailing address:
  • Phone: 352-225-1015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: