Provider Demographics
NPI:1538465182
Name:BROWN, RALPH W III (PT)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:W
Last Name:BROWN
Suffix:III
Gender:M
Credentials:PT
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Mailing Address - Street 1:14501 DURANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-7315
Mailing Address - Country:US
Mailing Address - Phone:918-413-3326
Mailing Address - Fax:918-649-0028
Practice Address - Street 1:1 CONCORDIA DR
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72715-8401
Practice Address - Country:US
Practice Address - Phone:479-268-4713
Practice Address - Fax:479-802-0703
Is Sole Proprietor?:No
Enumeration Date:2011-01-31
Last Update Date:2021-08-25
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Provider Licenses
StateLicense IDTaxonomies
AR2794225100000X
OK4404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist