Provider Demographics
NPI:1700557691
Name:BROWNLOW, ROYIE JR (DPT)
Entity Type:Individual
Prefix:DR
First Name:ROYIE
Middle Name:
Last Name:BROWNLOW
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 BALDRIDGE RD APT 4213
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-9460
Mailing Address - Country:US
Mailing Address - Phone:410-713-5739
Mailing Address - Fax:
Practice Address - Street 1:3876 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-1095
Practice Address - Country:US
Practice Address - Phone:850-908-1701
Practice Address - Fax:850-994-9794
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT37780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist