Whalio Doctors

NPI 1457743593

Elizabeth Brown, PTA

Practitioner Physical Medicine & Rehabilitation Physician Stockton, CA

Practice location

Address
4339 E Morada Ln, Stockton, CA 95212-1633
Phone
(209) 368-7433
Mailing address
631 S Ham Ln, Lodi, CA 95242-3532

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 10712PTA (CA)

Registry record

NPI
1457743593
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Feb 2015
Record last updated
2 Mar 2015

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.