Organization
BARRY BREVIK ORTHOPEDIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOERRE H BREVIK LPT (OWNER PHYSICAL THERAPIST)
(724) 773-0900
Entity
Organization
Contact information
Practice address
363 THIRD STREET, BEAVER, PA 15009
(724) 773-0900
(724) 773-0733
Mailing address
363 THIRD STREET, BEAVER, PA 15009
(724) 773-0900
(724) 773-0733
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT006308L
PA
208100000X
Physical Medicine & Rehabilitation Physician
PT017362
PA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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