Individual
KATHERINE BERREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 S HOSPITAL DR, STE D, FULTON, MO 65251-2535
(573) 642-7216
Mailing address
910 W WORLEY ST, COLUMBIA, MO 65203-2608
(573) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117763
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
07/08/2007
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