Provider Demographics
NPI:1851322663
Name:BROWNLEE, GEORGE LEON (PT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:LEON
Last Name:BROWNLEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9013 WIPKEY CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3232
Mailing Address - Country:US
Mailing Address - Phone:301-332-1981
Mailing Address - Fax:301-262-1259
Practice Address - Street 1:3700 N CAPITOL ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-8400
Practice Address - Country:US
Practice Address - Phone:800-422-9988
Practice Address - Fax:301-262-1259
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT3029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD00B755E63Medicare ID - Type UnspecifiedPHYSICAL THERAPY