Provider Demographics
NPI:1518367671
Name:BROWN, TAMIIKA (PTA)
Entity Type:Individual
Prefix:
First Name:TAMIIKA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7800C STENTON AVE
Mailing Address - Street 2:APT 205C
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3029
Mailing Address - Country:US
Mailing Address - Phone:267-285-6969
Mailing Address - Fax:
Practice Address - Street 1:300 E GERMANTOWN PIKE
Practice Address - Street 2:BRIGHTVIEW SENIOR LIVING
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-6520
Practice Address - Country:US
Practice Address - Phone:484-681-5999
Practice Address - Fax:484-231-1941
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATEI001500225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant