Healthcare Provider Details

I. General information

NPI: 1952590093
Provider Name (Legal Business Name): GERRI ANN BROWN R.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 EATON ST
LAKEWOOD CO
80214-1628
US

IV. Provider business mailing address

P.O. BOX 88
IDLEDALE CO
80453-0088
US

V. Phone/Fax

Practice location:
  • Phone: 303-669-2057
  • Fax: 303-233-3250
Mailing address:
  • Phone: 303-697-4375
  • Fax: 303-697-4375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number638
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: