Healthcare Provider Details

I. General information

NPI: 1588420699
Provider Name (Legal Business Name): TAYLOR BROWN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 HOSPITAL ST STE B
PASCAGOULA MS
39581-4112
US

IV. Provider business mailing address

2410 BONNE TERRE BLVD
BILOXI MS
39531-2280
US

V. Phone/Fax

Practice location:
  • Phone: 228-215-2260
  • Fax:
Mailing address:
  • Phone: 601-660-0779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7419
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: