Doctor Name: | YVONNE BERGEON BREWER |
NPI Number: | 1295729804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT25894 |
Business Practice Address: | 9201 W Sunset Blvd Ste M-140 West Hollywood, CA - 900693701 |
Business Phone Number: | 3108609720 |
Business Fax Number: | 3108609740 |
Mailing Address: | 9201 W Sunset Blvd # M-140, WEST HOLLYWOOD |
State: | CA |
Postal Code: | 900693701 |
Phone Number: | 3108609720 |
Fax Number: | 3108609740 |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT25894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |