MICAH R BREWER

EVANS, GA
NPI1366852634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002425)
Enumeration Date2014-05-07
Last Update Date2014-05-07
Business Address
-- MICAH R BREWER PTA
400 TOWN PARK BLVD STE 100
EVANS, GA 30809-3471
Phone number: 706-854-9850
Mailing Address
-- MICAH R BREWER PTA
524 TELEGRAPH DR
AIKEN, SC 29801-5369
Phone number: 803-292-9343
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