Doctor Name: | MR. GLENN L BROWN |
NPI Number: | 1275663577 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 247 |
Business Practice Address: | 3750 E Country Field Cir Unit A Wasilla, AK - 996546689 |
Business Phone Number: | 9073767334 |
Business Fax Number: | 9073731429 |
Mailing Address: | 3750 E Country Field Cir, Unit A WASILLA |
State: | AK |
Postal Code: | 996546689 |
Phone Number: | 9073767334 |
Fax Number: | 9073731429 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |