MEDICARE: DR. TANGILYN LA'TOYA BROWN WASHINGTON PT,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
1	225100000X	Physical Therapist	PTH11726	AL

General Provider Information

NPI Number	:	1669230926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANGILYN LA'TOYA BROWN WASHINGTON PT,DPT

Provider Business Mailing Address
First Line	:	327 HONEYSUCKLE DR
Second Line	:
City	:	MILLBROOK
State	:	AL
Zip	:	36054-1507
Country	:	US
Telephone Number	:	407-867-2878
Fax Number	:

Provider Business Practice Location Address
First Line	:	2972 CARTER HILL RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-2531
Country	:	US
Telephone Number	:	334-288-8358
Fax Number	:

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

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	03/11/2024

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