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NPI Code Detail

MEDICARE: INA LARISA BROWN PTA

MEDICARE: INA LARISA 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 Assistant2073648TX

General Provider Information

NPI Number : 1649109513
Entity Type Code : Individual
Provider Name (Legal Business Name) : INA LARISA BROWN PTA
Provider Business Mailing Address
First Line : 4594 LEGEND TRL
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-2197
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 816 EVERYDAY WAY
Second Line :
City : CIBOLO
State : TX
Zip : 78108-4080
Country : US
Telephone Number : 210-538-3812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ INA LARISA BROWN PTA” Practice Location

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