Individual
FRED BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 SAINT MICHAELS DR, SANTA FE, NM 87505-7600
(505) 438-9402
Mailing address
1814 PASEO DE LA CONQUISTADORA, SANTA FE, NM 87501-2341
(505) 795-8092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1214
NM
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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