Individual
MS. BRENDA LEE BREWSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
852 MERRIMON AVE, ASHEVILLE, NC 28804-2405
(828) 251-6091
(828) 251-6911
Mailing address
16 GALLIMORE RD, BREVARD, NC 28712-9591
(828) 251-6091
(828) 251-6911
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1398E
BCBS INDIVIDUAL NUMBER
NC
Enumeration date
03/20/2007
Last updated
07/08/2007
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