Individual
PAMELA BERCAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 W 5TH ST, MISHAWAKA, IN 46544-1810
(574) 259-6233
Mailing address
701 W 5TH ST, MISHAWAKA, IN 46544
(574) 259-6233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002546A
IN
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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