Individual
MRS. BROOKS E BREWER
Active
Individual
MRS. BROOKS E BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT2801
AR
225100000X
Physical Therapist
Primary
PT2801
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155606721
—
AR
01
—
5Y229
BLUECROSS PROVIDER #
AR
Enumeration date
04/26/2006
Last updated
09/09/2024
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