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NPI Code Detail

MEDICARE: MARGARET BREWSTER

MEDICARE: MARGARET BREWSTER
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1568068732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET BREWSTER
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 BROAD ST STE 120
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37408-1834
Country : US
Telephone Number : 423-308-6988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 12/22/2020

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Directions to “ MARGARET BREWSTER ” Practice Location

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