Organization
CHEWELAH ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R BREWER P.T., M.O.M.T. (OWNER)
(509) 935-4988
Entity
Organization
Contact information
Practice address
N 119 3RD ST E, CHEWELAH, WA 99109
(509) 935-4988
(509) 935-4985
Mailing address
PO BOX 909, CHEWELAH, WA 99109-0909
(509) 935-4988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0123911
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7091564
—
WA
05
—
8446924
—
WA
Enumeration date
04/12/2007
Last updated
09/07/2007
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