Provider Demographics
NPI:1679704829
Name:BROWNE, JOLAN T (DPT)
Entity type:Individual
Prefix:
First Name:JOLAN
Middle Name:T
Last Name:BROWNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2465 BROADWAY LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-0295
Mailing Address - Country:US
Mailing Address - Phone:212-877-2525
Mailing Address - Fax:212-877-5767
Practice Address - Street 1:1180 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1311
Practice Address - Country:US
Practice Address - Phone:848-308-4515
Practice Address - Fax:848-308-4516
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032964-1225100000X
NJ40QA02297100225100000X
PAPT020080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist