Michael Lynn Bernarde, PTA

NPI #1699955286 in Port Edwards, Wisconsin

Provider Information

NPI Number: 1699955286
Entity Type: Individual
Name: Michael Lynn Bernarde, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 12, 2007
Last Updated: Nov 12, 2007

Practice Location

Address: 1351 WISCONSIN RIVER DR
City: Port Edwards
State: Wisconsin
ZIP Code: 54469-1041
Phone: (715) 885-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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