Individual
JACOB BERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13055 W MCDOWELL RD STE G107, AVONDALE, AZ 85392-6450
(623) 547-4787
Mailing address
13055 W MCDOWELL RD STE G107, AVONDALE, AZ 85392-6450
(623) 547-4787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31424
AZ
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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