Doctor Name: | GRACE BROWN |
NPI Number: | 1366824658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 13092-24 |
Business Practice Address: | 10105 74th St Ste 103 Kenosha, WI - 531427519 |
Business Phone Number: | 2626976143 |
Business Fax Number: | 2626976278 |
Mailing Address: | 10105 74th St, Ste 103 KENOSHA |
State: | WI |
Postal Code: | 531427519 |
Phone Number: | 2626976143 |
Fax Number: | 2626976278 |
NPI Enumeration Date: | 06/23/2015 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 13092-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |