Provider Demographics
NPI:1306111232
Name:BROWN, OLABISI JARRETT (DPT, BCB-PMD)
Entity type:Individual
Prefix:DR
First Name:OLABISI
Middle Name:JARRETT
Last Name:BROWN
Suffix:
Gender:F
Credentials:DPT, BCB-PMD
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Mailing Address - Street 1:2900 CHAMBLEE TUCKER ROAD BUILDING 3
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4100
Mailing Address - Country:US
Mailing Address - Phone:404-935-9000
Mailing Address - Fax:404-935-9009
Practice Address - Street 1:2900 CHAMBLEE TUCKER RD BUIDING 3
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-4100
Practice Address - Country:US
Practice Address - Phone:404-935-9000
Practice Address - Fax:404-935-9009
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPT007193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist