Provider Demographics
NPI:1730580994
Name:BROWN, JESSICA A (PT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:A
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2600 W RUN RD
Mailing Address - Street 2:
Mailing Address - City:MUNHALL
Mailing Address - State:PA
Mailing Address - Zip Code:15120-2869
Mailing Address - Country:US
Mailing Address - Phone:412-462-8002
Mailing Address - Fax:412-462-2113
Practice Address - Street 1:2600 W RUN RD
Practice Address - Street 2:
Practice Address - City:MUNHALL
Practice Address - State:PA
Practice Address - Zip Code:15120-2869
Practice Address - Country:US
Practice Address - Phone:412-462-8002
Practice Address - Fax:412-462-2113
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023604225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist