Brubaker, Luthgarda Sta. Maria

Brubaker, Luthgarda Sta. Maria is an sole proprietor health care provider with primary practice located at 15606 High Bell Pl , Bradenton FL 34212-3911. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brubaker, Luthgarda Sta. Maria can be contacted via phone (850) 774-8429.

Contact Information

Primary practice address
15606 High Bell Pl Bradenton FL 34212-3911
Phone: (850) 774-8429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT27432 Florida

Profile Details

NPI number 1417297193
LBN Legal business name Brubaker, Luthgarda Sta. Maria
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2013
Last updated Jul 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417297193 NPPES
Florida MEDICAID 002012700

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