Doctor Name: | MRS. ERIKA BRASSOW |
NPI Number: | 1043412810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1162067 |
Business Practice Address: | 555 Fm 3237 Wimberley, TX - 786765311 |
Business Phone Number: | 5128475540 |
Business Fax Number: | |
Mailing Address: | 112 Golfcrest Dr, WIMBERLEY |
State: | TX |
Postal Code: | 786763034 |
Phone Number: | 5126182392 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 1162067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |