Doctor Name: | MR. MARK E BROWN |
NPI Number: | 1568422988 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 3421 |
Business Practice Address: | 1717 W 33rd St Edmond, OK - 730133819 |
Business Phone Number: | 4053402025 |
Business Fax Number: | 4053406649 |
Mailing Address: | 16 Nw 63rd St, Suite 104 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731169116 |
Phone Number: | 4054198447 |
Fax Number: | 4054197745 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |