MEDICARE: ZACH BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	4365	AR

General Provider Information

NPI Number	:	1154848133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACH BROWN

Provider Business Mailing Address
First Line	:	10014 N RODNEY PARHAM RD STE 103
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-5598
Country	:	US
Telephone Number	:	501-224-5454
Fax Number	:	501-224-5460

Provider Business Practice Location Address
First Line	:	4540 JFK BLVD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7309
Country	:	US
Telephone Number	:	501-758-5555
Fax Number	:	501-758-5941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	08/29/2017

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Directions to “ ZACH BROWN ” Practice Location

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