Mr Kevin Dean Brown, PT | |
654 Brae Mar Ct, Encinitas, CA 92024-2378 | |
(760) 809-1502 | |
Not Available |
Full Name | Mr Kevin Dean Brown |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 654 Brae Mar Ct, Encinitas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750502613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 26670 (California) | Primary |
Provider Name | Kathleen J. Grace Rpt Apc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740201730 PECOS PAC ID: 1153313432 Enrollment ID: O20040330001103 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Dean Brown, PT 654 Brae Mar Ct, Encinitas, CA 92024-2378 Ph: (760) 809-1502 | Mr Kevin Dean Brown, PT 654 Brae Mar Ct, Encinitas, CA 92024-2378 Ph: (760) 809-1502 |
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