Provider Demographics
NPI:1851499636
Name:BROWN, DEBORAH BROWN (RKT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:BROWN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:333 ELLIS RD
Mailing Address - Street 2:
Mailing Address - City:SHORTER
Mailing Address - State:AL
Mailing Address - Zip Code:36075-4006
Mailing Address - Country:US
Mailing Address - Phone:334-727-3490
Mailing Address - Fax:334-727-2412
Practice Address - Street 1:2400 HOSPITAL RD
Practice Address - Street 2:117
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083-5001
Practice Address - Country:US
Practice Address - Phone:334-727-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist