Joshua Floyd Brown

Individual provider Active NPI Occupational Therapy Assistant · Apache Junction, AZ

NPI 1639762016 · NPPES record last updated Feb 16, 2021

Key facts

NPI
1639762016
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA-046883 (AZ)
Practice address
2012 W Southern Ave
Apache Junction, AZ 85120-7305
Phone
(480) 983-0700
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA-046883AZMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-046883 AZ Yes

Addresses

Primary practice location

2012 W Southern Ave
Apache Junction, AZ 85120-7305

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Other providers in Apache Junction, AZ

All providers in Apache Junction, AZ · Occupational Therapy Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.