Provider Demographics
NPI:1306020672
Name:BROWN, ERIKA LAYNE (PT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LAYNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 732
Mailing Address - Street 2:
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265-0732
Mailing Address - Country:US
Mailing Address - Phone:812-346-6117
Mailing Address - Fax:812-346-0697
Practice Address - Street 1:3615 W COUNTY ROAD 300 S
Practice Address - Street 2:
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-4829
Practice Address - Country:US
Practice Address - Phone:812-346-6117
Practice Address - Fax:812-346-0697
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist