MEDICARE: TIFFANY R. BROWER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	18929	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6276	OTHER	MA	PTA LICENSE
2	18929	OTHER	MA	PT LICENSE

General Provider Information

NPI Number	:	1508927203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY R. BROWER PT

Provider Business Mailing Address
First Line	:	PO BOX 307
Second Line	:
City	:	DALTON
State	:	MA
Zip	:	01227-0307
Country	:	US
Telephone Number	:	413-281-3539
Fax Number	:

Provider Business Practice Location Address
First Line	:	279 BATES RD
Second Line	:
City	:	WINDSOR
State	:	MA
Zip	:	01270
Country	:	US
Telephone Number	:	413-281-3539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/10/2014

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Directions to “ TIFFANY R. BROWER PT” Practice Location

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