Doctor Name: | JORDAN BREWER |
NPI Number: | 1477967867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT27428 |
Business Practice Address: | 16201 Panama City Beach Pkwy Suite A Panama City Beach, FL - 324135306 |
Business Phone Number: | 8502500826 |
Business Fax Number: | 8502500840 |
Mailing Address: | 80 Technacenter Dr, Suite 300 MONTGOMERY |
State: | AL |
Postal Code: | 361176028 |
Phone Number: | 3346255795 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT27428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |