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Individual
MS. SANDRA D. BREWER
Active
Individual
MS. SANDRA D. BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6891
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3658710
—
TN
01
—
4076074
BLUE CROSS
TN
01
—
CH4394
MEDICARE-RAILROAD GROUP ID
TN
Enumeration date
05/16/2006
Last updated
06/09/2008
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