Individual
MICHELLE BERKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2981 FLEETWOOD DR, GREEN BAY, WI 54313-1379
(920) 884-7834
Mailing address
2981 FLEETWOOD DR, GREEN BAY, WI 54313-1379
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1051019
WI
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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