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Individual
NICK BERNDT
Active
Individual
NICK BERNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0497
SD
225200000X
Physical Therapy Assistant
0497
SD
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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