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NPI Code Detail

MEDICARE: PHILLIP LEE BROWN PT

MEDICARE: PHILLIP LEE BROWN PT
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 TherapistPT013221OH

General Provider Information

NPI Number : 1720371420
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP LEE BROWN PT
Provider Business Mailing Address
First Line : 965 HIGH ST
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-4057
Country : US
Telephone Number : 614-784-0400
Fax Number : 614-784-0401
Provider Business Practice Location Address
First Line : 965 HIGH ST
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-4057
Country : US
Telephone Number : 614-784-0400
Fax Number : 614-784-0401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2011
Last Update Date : 06/04/2024

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Directions to “ PHILLIP LEE BROWN PT” Practice Location

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