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NPI Code Detail

MEDICARE: DR. TIFFANY BROWN DPT

MEDICARE: DR. TIFFANY BROWN DPT
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
1225100000XPhysical TherapistPTH5989AL

General Provider Information

NPI Number : 1659734325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY BROWN DPT
Provider Business Mailing Address
First Line : 392 SYDNEY DR S
Second Line :
City : PRATTVILLE
State : AL
Zip : 36066-1961
Country : US
Telephone Number : 334-201-5331
Fax Number :
Provider Business Practice Location Address
First Line : 520 S HULL ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-4610
Country : US
Telephone Number : 334-834-2920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 03/31/2016

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Directions to “ DR. TIFFANY BROWN DPT” Practice Location

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