Provider Demographics
NPI:1518235761
Name:BROWN, LINDA MARIE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:1930 DEL PASO RD
Mailing Address - Street 2:SUITE 123
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7716
Mailing Address - Country:US
Mailing Address - Phone:916-333-0570
Mailing Address - Fax:916-928-2209
Practice Address - Street 1:1930 DEL PASO RD STE 123
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7717
Practice Address - Country:US
Practice Address - Phone:916-333-0570
Practice Address - Fax:916-333-0871
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist