Healthcare Provider Details

I. General information

NPI: 1013432962
Provider Name (Legal Business Name): CLAIRE BROWN HARRISON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 08/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 E ARLINGTON BLVD
GREENVILLE NC
27858-5870
US

IV. Provider business mailing address

3510 E WILSON ST
FARMVILLE NC
27828-1675
US

V. Phone/Fax

Practice location:
  • Phone: 252-364-2806
  • Fax:
Mailing address:
  • Phone: 919-634-2854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17290
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: