Individual
PATRICK BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, RDN
Contact information
Practice address
25 AMY LN, TAYLORS, SC 29687-3601
(504) 458-0898
Mailing address
25 AMY LN, TAYLORS, SC 29687-3601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8414
SC
Other
Enumeration date
11/29/2016
Last updated
11/14/2018
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