Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 21018 | MA |
NPI | 1003293002 |
---|---|
Provider Name | Dr. Brittany Rose Bernier |
First Address | Feeding Hills, MA 01030-2503 |
Second Address | Westfield, MA 01085-2927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2015 |
Last Update Date | 29/04/2015 |