Provider Demographics
NPI:1891213898
Name:BROWN, VINCE L (CPT)
Entity type:Individual
Prefix:MR
First Name:VINCE
Middle Name:L
Last Name:BROWN
Suffix:
Gender:M
Credentials:CPT
Other - Prefix:MR
Other - First Name:PAUL
Other - Middle Name:V
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2997 FOOTHILL RD # C
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2900
Mailing Address - Country:US
Mailing Address - Phone:805-637-8756
Mailing Address - Fax:
Practice Address - Street 1:2997 FOOTHILL RD # C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2900
Practice Address - Country:US
Practice Address - Phone:805-637-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist