Individual
SHELBY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 4TH AVE E, DICKINSON, ND 58601-4014
(701) 456-7242
Mailing address
14 HORSESHOE LN, SHERIDAN, WY 82801-8619
(307) 461-1558
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1205
ND
Other
Enumeration date
08/02/2016
Last updated
08/03/2016
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