Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 002816 | WV |
Y | 225100000X | Physical Therapist | 15849 | MD |
N | 225100000X | Physical Therapist | 16588 | NC |
N | 2251C2600X | Cardiopulmonary | 15849 | MD |
N | 2251G0304X | Physical Therapist - Geriatrics | 15849 | MD |
N | 2251N0400X | Physical Therapist - Neurology | 15849 | MD |
NPI | 1356673354 |
---|---|
Provider Name | Mrs. Joyce Ann Berger |
First Address | Jefferson, MD 21755-7701 |
Second Address | Jefferson, MD 21755-7701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 30/06/2021 |