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Contact Information

REGINA BROWN, PTA
374 E. GRAND AVE.
SIUC STUDENT HEALTH CENTER
CARBONDALE, IL62901
 Phone: 618-453-6140
 Fax: 618-453-4290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for REGINA BROWN · (Female)

NPI Number 1407981046
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 02/23/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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