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NPI Code Detail

MEDICARE: MRS. DAPHNE BEAUCHAMP BROWNE L.P.T.

MEDICARE: MRS. DAPHNE BEAUCHAMP BROWNE L.P.T.
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 Therapist2427NC

General Provider Information

NPI Number : 1780715235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAPHNE BEAUCHAMP BROWNE L.P.T.
Provider Business Mailing Address
First Line : PO BOX 97
Second Line :
City : LITTLETON
State : NC
Zip : 27850-0097
Country : US
Telephone Number : 252-586-5732
Fax Number :
Provider Business Practice Location Address
First Line : 141 STORAGE RD
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-8561
Country : US
Telephone Number : 252-443-0318
Fax Number : 252-443-5079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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