Individual
JONATHAN ROBERT BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
7300 WASHINGTON AVE STE B, MOUNT PLEASANT, WI 53406-6525
(262) 321-6000
Mailing address
8059 61ST AVE, KENOSHA, WI 53142-1839
(262) 995-4158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10623
WI
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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