Provider Demographics
NPI:1982091435
Name:BROWN, ERIC D (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3240 E BISON TRL
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8006
Mailing Address - Country:US
Mailing Address - Phone:605-501-6685
Mailing Address - Fax:605-681-9909
Practice Address - Street 1:3240 E BISON TRL
Practice Address - Street 2:STE 100
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8006
Practice Address - Country:US
Practice Address - Phone:605-501-6685
Practice Address - Fax:605-681-9909
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD21822251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic