# BARRY BREVIK ORTHOPEDIC REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588851018
- **Authorized official:** MR. BOERRE H BREVIK LPT (OWNER PHYSICAL THERAPIST)
- **Authorized official phone:** (724) 773-0900

## Contact information

- **Practice address:** 363 THIRD STREET, BEAVER, PA 15009
- **Practice address phone:** (724) 773-0900
- **Practice address fax:** (724) 773-0733
- **Mailing address:** 363 THIRD STREET, BEAVER, PA 15009
- **Mailing address phone:** (724) 773-0900
- **Mailing address fax:** (724) 773-0733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT006308L | PA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT017362 | PA | — |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 09/28/2007