NPI 1114274453

Fred Berman

Practitioner Physical Therapy Assistant Santa Fe, NM

Practice location

Address: 720 Saint Michaels Dr, Santa Fe, NM 87505-7600
Phone: (505) 438-9402
Mailing address: 1814 Paseo de La Conquistadora, Santa Fe, NM 87501-2341

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A-1214 (NM)

Other Physical Therapy Assistant providers in New Mexico →

Registry record

NPI: 1114274453
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2012
Record last updated: 6 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.