Provider Demographics
NPI:1225681364
Name:BROWN, CIERRA (PTA)
Entity Type:Individual
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First Name:CIERRA
Middle Name:
Last Name:BROWN
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Gender:F
Credentials:PTA
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Mailing Address - Street 1:8205 PRESIDENTS DR FL 2
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8621
Mailing Address - Country:US
Mailing Address - Phone:717-839-2159
Mailing Address - Fax:717-565-1104
Practice Address - Street 1:8901 STONEBRIDGE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2254
Practice Address - Country:US
Practice Address - Phone:770-627-4376
Practice Address - Fax:770-627-5966
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant