Individual
AUSTIN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3198 US-60 SUITE A, ONA, WV 25545
(304) 733-9430
Mailing address
3198 US 60 SUITE A ONA, WV, ONA, WV 25545
(304) 733-9430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002447
WV
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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