Doctor Name: | JUDSON P BROWN |
NPI Number: | 1033260989 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OT |
License Number: | OT 1316 |
Business Practice Address: | 26471 Crown Valley Pkwy Suite 200 Mission Viejo, CA - 926916378 |
Business Phone Number: | 9499162601 |
Business Fax Number: | 9499162302 |
Mailing Address: | 26471 Crown Valley Pkwy, Suite 200 MISSION VIEJO |
State: | CA |
Postal Code: | 926916378 |
Phone Number: | 9499162601 |
Fax Number: | 9499162302 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT 1316 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |