Provider Demographics
NPI:1902010846
Name:BROWN, RONALD DENE (PT PHYSICAL THERAPIS)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:DENE
Last Name:BROWN
Suffix:
Gender:M
Credentials:PT PHYSICAL THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 COUNTRY RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831
Mailing Address - Country:US
Mailing Address - Phone:916-391-9484
Mailing Address - Fax:
Practice Address - Street 1:366 ELM AVE
Practice Address - Street 2:REMEDY REHAB SUITE 252
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95606
Practice Address - Country:US
Practice Address - Phone:916-367-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA409225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist