Individual
DAVID MATTHEW BREWER
Active
Individual
DAVID MATTHEW BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTO-20454
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102448115-001
—
PA
01
—
2156631
HIGHMARK PA BLUE SHIELD
PA
01
—
30078791
KEYSTONE MERCY
PA
01
—
306073
UNISON
—
01
—
3777092000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
04/05/2010
Last updated
08/31/2017
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