National Provider Identifier
Candace Marie Brown, PT
Candace Marie Brown, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fluvanna, NY and a listed phone number of (716) 708-6179.
Profile Overview
- NPI
- 1801810122
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 27, 2006
- Last Updated
- August 31, 2023
Practice Location
- 3266 Fluvanna Avenue Ext
- Fluvanna, NY 14701-9706
Phone: (716) 708-6179
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1801810122
- Entity Type
- Individual
- Last Name
- Brown
- First Name
- Candace
- Middle Name
- Marie
- Credential
- PT
- Provider Other Last Name
- Brown
- Provider Other First Name
- Candace
- Provider Other Middle Name
- M
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 3266 Fluvanna Avenue Ext
- Mailing City
- Fluvanna
- Mailing State
- NY
- Mailing ZIP Code
- 14701-9706
- Mailing Country
- US
- Mailing Phone
- (716) 708-6179
- Mailing Fax
- (866) 902-1160
- Practice Street Address
- 3266 Fluvanna Avenue Ext
- Practice City
- Fluvanna
- Practice State
- NY
- Practice ZIP Code
- 14701-9706
- Practice Country
- US
- Practice Phone
- (716) 708-6179
- Enumeration Date
- July 27, 2006
- Last Updated
- August 31, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 02650273 (NY)