Provider / Organization | NPI | Date Certified |
---|---|---|
JARED ROGER BROWN | 1245977990 | 2022-05-15 |
Jared Roger Brown is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245977990. Registration indicates Jared Roger Brown is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Jared Roger Brown DPT |
Practice Office Address | 43490 YUKON DR STE 212 ASHBURN, VA US |
Practice Office Telephone | 7037297920 |
Practice Office Fax | 7037297923 |
Mailing Address | 170 PARKVIEW AVE BANGOR, ME 044014062 US |
Business Telephone | 2078128802 |
Address | City / State | Phone / Fax |
---|---|---|
170 Parkview Ave | Bangor, ME 044014062 | 2078128802 |
Code | Practice | License No State |
---|---|---|
225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT6217
ME |
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 2305215215
VA |