Provider Demographics
NPI:1194357657
Name:BREWER, ALLISON NICOLE (PT, DPT, ATC)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:NICOLE
Last Name:BREWER
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22581 LOST CREEK TER APT 403
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-6289
Mailing Address - Country:US
Mailing Address - Phone:850-393-4904
Mailing Address - Fax:
Practice Address - Street 1:22581 LOST CREEK TER APT 403
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-6289
Practice Address - Country:US
Practice Address - Phone:850-393-4904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer