Individual
BRENDA K EWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
200 FLORIDA AVE, TAVERNIER, FL 33070-2641
(305) 853-0943
Mailing address
200 FLORIDA AVE, TAVERNIER, FL 33070-2641
(305) 853-0943
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT10819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-4091162
TAX ID #
FL
Enumeration date
06/30/2006
Last updated
03/27/2012
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