Healthcare Provider Details
I. General information
NPI: 1104606649
Provider Name (Legal Business Name): DONALD BROWN STRENGTH COACHING AND PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2023
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 ACORN HILL DR
FLETCHER NC
28732-8462
US
IV. Provider business mailing address
3 ACORN HILL DR
FLETCHER NC
28732-8462
US
V. Phone/Fax
- Phone: 828-301-5117
- Fax:
- Phone: 828-301-5117
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DONALD
FRANKLEN
BROWN
II
Title or Position: OWNER/EMPLOYEE
Credential: PT, DPT, CSCS
Phone: 828-301-5117