Healthcare Provider Details

I. General information

NPI: 1316356959
Provider Name (Legal Business Name): ALISON BROWN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON ROELL DPT

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 10/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 S STATE ROAD 135 STE 110
GREENWOOD IN
46143-9829
US

IV. Provider business mailing address

1310 MURPHYS LANDING DR APT 105
INDIANAPOLIS IN
46217-3436
US

V. Phone/Fax

Practice location:
  • Phone: 317-535-4075
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number05011524A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: