Lori Berkovitz, PTA

NPI #1609040724 in Suamico, Wisconsin

Provider Information

NPI Number: 1609040724
Entity Type: Individual
Name: Lori Berkovitz, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 18, 2008
Last Updated: Apr 18, 2008

Practice Location

Address: 2409 WOODINGTON WAY
City: Suamico
State: Wisconsin
ZIP Code: 54173-7904
Phone: (920) 434-3124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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