Individual
RICHARD BERTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, ATC, PES
Contact information
Practice address
117 EVERGREEN DR, STOKES ATHLETIC CENTER, SAINT FRANCIS UNIVERSITY, LORETTO, PA 15940-9704
(570) 951-9952
Mailing address
PO BOX 169, 188 MAHANOY ST., NUREMBERG, PA 18241-0169
(570) 951-9952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005723
PA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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