Tosha Brown
Individual provider Active NPI Physical Therapy Assistant · McComb, MS
NPI 1003062324 · NPPES record last updated Aug 18, 2008
Key facts
- NPI
- 1003062324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA5274 (AL)
- Practice address
- 206 Maryland Ave
McComb, MS 39648-3926 - Phone
- (601) 250-4815
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA5274 | AL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA5274 | AL | Yes |
Addresses
Primary practice location
206 Maryland Ave
McComb, MS 39648-3926
Mailing address
8029 Copperfield Dr
Montgomery, AL 36117-7310
Other providers in McComb, MS
- Rita Brown-Bobkoskie
- Cherie Elizabeth Brown
- Gwendolyn Michelle Brown
- Laterra Brown
- Megan Brown
- Janice D Brumfield
- Pamela Brumfield
- Tomieka Brumfield
- Lovel A. L Bruney
- Dinah Bryant
All providers in McComb, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.