Individual ProviderLily Ambrose BrownPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445-2767(843) 642-8660(615) 373-1350PECOS EnrollmentBased on the most recent information from CMS, provider Lily Ambrose Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336712892Provider TypeIndividualFull NameBrown, Lily AmbroseTitleDr.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date7/22/2021Last Updated2/5/2024Contact InformationPractice LocationPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445-2767Phone(843) 642-8660Fax(843) 642-8661Mailing LocationMailing AddressPO Box 306393, Nashville, TN 37230-6393Phone(615) 373-1350Fax(615) 373-7116Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10772South Carolina