NPI 1235909375

Ethan Berkson

Practitioner Recreation Therapist Phoenix, AZ

Practice location

Address: 650 E Indian School Rd, Phoenix, AZ 85012-1839
Phone: (602) 277-5551

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Registry record

NPI: 1235909375
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2024
Record last updated: 8 Jan 2024

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.