Individual
MARK BERTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
16101 EVANS ST., OMAHA, NE 68116
(402) 717-0009
(402) 717-0011
Mailing address
16101 EVANS ST., OMAHA, NE 68116
(402) 717-0009
(402) 717-0011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2256
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025768700
—
NE
Enumeration date
01/29/2007
Last updated
03/20/2015
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