NPI 1407981046

Regina Brown, PTA

Practitioner Physical Therapy Assistant Carbondale, IL

Practice location

Address: 374 E. Grand Ave. Siuc Student Health Center, Carbondale, IL 62901
Phone: (618) 453-6140
Fax: (618) 453-4290

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1407981046
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.