Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT007044L | PA |
NPI | 1013137462 |
---|---|
Provider Name | Mrs. Cindy T. Berlin |
First Address | Mercer, PA 16137-2258 |
Second Address | Mercer, PA 16137-2258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |