Doctor Name: | CRAIG M BROWN |
NPI Number: | 1174643373 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2000165565 |
Business Practice Address: | 206 Hospital Ln Ste 100 Mid America Rehab Perryville, MO - 637751382 |
Business Phone Number: | 5737683349 |
Business Fax Number: | |
Mailing Address: | 206 Hospital Ln Ste 100, Mid America Rehab PERRYVILLE |
State: | MO |
Postal Code: | 637751382 |
Phone Number: | 5737683349 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 03/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 2000165565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |