Provider Demographics
NPI:1396992889
Name:BROWNE, BLAIR MAURICE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:BLAIR
Middle Name:MAURICE
Last Name:BROWNE
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 E. 17TH STREET
Mailing Address - Street 2:SUITE 204 TOTAL REHAB
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701
Mailing Address - Country:US
Mailing Address - Phone:714-619-2454
Mailing Address - Fax:714-835-4619
Practice Address - Street 1:1206 E. 17TH STREET
Practice Address - Street 2:SUITE 204 TOTAL REHAB
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:714-619-2454
Practice Address - Fax:714-835-4619
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16286225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty