Provider Demographics
NPI:1104382480
Name:BROWER, CLAUDIA GORGI (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:GORGI
Last Name:BROWER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5708 BRYAN PKWY UNIT D
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8723
Mailing Address - Country:US
Mailing Address - Phone:817-503-5578
Mailing Address - Fax:
Practice Address - Street 1:2419 HIGHWAY 121
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5011
Practice Address - Country:US
Practice Address - Phone:817-835-8025
Practice Address - Fax:844-813-7801
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1315048225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist