Provider Demographics
NPI:1467677559
Name:BREWSTER, SHARON BARNETT (PTA)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:BARNETT
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4285 APRIL RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-7707
Mailing Address - Country:US
Mailing Address - Phone:850-478-5153
Mailing Address - Fax:
Practice Address - Street 1:4285 APRIL RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-7707
Practice Address - Country:US
Practice Address - Phone:850-478-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18888225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant