Individual
KRISTOPHER BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
47 S VINE ST, WESTERVILLE, OH 43081-1636
(937) 416-6734
Mailing address
47 S VINE ST, WESTERVILLE, OH 43081-1636
(937) 416-6734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10028
OH
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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