Provider Demographics
NPI:1942410949
Name:BROWN, JENNIFER SOJINI (JENNIFER BROWN)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:SOJINI
Last Name:BROWN
Suffix:
Gender:F
Credentials:JENNIFER BROWN
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:SOJINI
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JENNIFER BROWN
Mailing Address - Street 1:927 RIVERSIDE DR APT 325
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10139 NW 31ST ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3908
Practice Address - Country:US
Practice Address - Phone:954-755-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19993225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant