Individual
BRIAN BERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 890-3553
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012363
GA
Other
Enumeration date
06/15/2022
Last updated
07/28/2023
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