Provider Demographics
NPI:1578896726
Name:BROWN-WHITE, PAMELA D (PT, MBA)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:D
Last Name:BROWN-WHITE
Suffix:
Gender:F
Credentials:PT, MBA
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:D
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 29680
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-0880
Mailing Address - Country:US
Mailing Address - Phone:202-832-3590
Mailing Address - Fax:202-832-8494
Practice Address - Street 1:3321 12TH ST NE
Practice Address - Street 2:SUITE 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-4008
Practice Address - Country:US
Practice Address - Phone:202-832-3590
Practice Address - Fax:202-832-8494
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT22482251P0200X
MD188272251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics