Provider Demographics
NPI:1598903007
Name:BRIMMER, PAMELA S (PT)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:BRIMMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 FOREST PINES DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-1913
Mailing Address - Country:US
Mailing Address - Phone:508-385-2735
Mailing Address - Fax:
Practice Address - Street 1:434 ROUTE 134
Practice Address - Street 2:BLDG. D1
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660-3433
Practice Address - Country:US
Practice Address - Phone:508-394-4847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8324OtherPT LICENSE