Provider Demographics
NPI:1700839149
Name:BREWER, JANET LYNNE (PT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNNE
Last Name:BREWER
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 1:105 GEORGIAN PL
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-1738
Mailing Address - Country:US
Mailing Address - Phone:814-255-7722
Mailing Address - Fax:
Practice Address - Street 1:534 W OTTERMAN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2113
Practice Address - Country:US
Practice Address - Phone:724-837-7700
Practice Address - Fax:734-837-7793
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002231L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist