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NPI Code Detail

MEDICARE: DR. TAWIONA BROWN DPT

MEDICARE: DR. TAWIONA 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
12251X0800XOrthopedic Physical TherapistPT008278OH

General Provider Information

NPI Number : 1962003061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAWIONA BROWN DPT
Provider Business Mailing Address
First Line : 24559 MCCUTCHEONVILLE RD
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-9665
Country : US
Telephone Number : 419-250-4298
Fax Number :
Provider Business Practice Location Address
First Line : 20311 PEMBERVILLE RD
Second Line :
City : PEMBERVILLE
State : OH
Zip : 43450-9413
Country : US
Telephone Number : 866-244-4180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/04/2020

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