Individual
LANCE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3621 E WHITESTONE BLVD # 400, CEDAR PARK, TX 78613-6998
(512) 925-8857
Mailing address
30126 DIAMOND DOVE TRL, GEORGETOWN, TX 78628-3724
(512) 925-8857
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1220537
TX
Other
Enumeration date
07/23/2012
Last updated
12/16/2019
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