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Individual

MARY BERKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
6706 ROCK FALL CT, CLIFTON, VA 20124
(703) 815-8199
Mailing address
6706 ROCK FALL CT, CLIFTON, VA 20124-2517
(703) 815-8199

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603863
VA

Other

Enumeration date
07/28/2017
Last updated
07/21/2022
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