Individual
JUSTIN W BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206-6002
(701) 780-5340
(701) 780-1942
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5340
(701) 780-1942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1202
ND
225100000X
Physical Therapist
7210
MN
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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