Individual
MR. EARL EDWARD BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS-PHYSIAL THERAPY
Contact information
Practice address
3801 5TH STREET SE, SUITE 220, PUYALLUP, WA 98374
(253) 445-4258
(253) 445-4724
Mailing address
11711 NE 12TH ST, SUITE 3A, BELLEVUE, WA 98005
(425) 450-9474
(425) 635-9340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005124
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8341125
—
WA
01
—
LI0180089
LABOR & INDUSTRIES
—
Enumeration date
08/02/2006
Last updated
07/08/2007
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