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NPI Code Detail

MEDICARE: ASHLEY DANIELLE BROWN PTA

MEDICARE: ASHLEY DANIELLE BROWN PTA
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
1225200000XPhysical Therapy AssistantTEI002557PA
2225200000XPhysical Therapy AssistantTE008285PA

General Provider Information

NPI Number : 1487896395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DANIELLE BROWN PTA
Provider Business Mailing Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-569-2657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2009
Last Update Date : 10/09/2020

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Directions to “ ASHLEY DANIELLE BROWN PTA” Practice Location

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