Provider Demographics
NPI:1942272166
Name:BROWN, NANCY M (PT, SCS, ATC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:BROWN
Suffix:
Gender:F
Credentials:PT, SCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 ARMY PENTAGON
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20310-5801
Mailing Address - Country:US
Mailing Address - Phone:703-614-6334
Mailing Address - Fax:
Practice Address - Street 1:DILORENZO TRICARE HEALTH CLINIC
Practice Address - Street 2:CIORRIDOR 8, RM MG914/918 5801 ARMY PENTAGON
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20310-0001
Practice Address - Country:US
Practice Address - Phone:703-692-8981
Practice Address - Fax:703-692-0941
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT005956L2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist