Organization
DON BERLYN PHYSICAL THERAPY PC
Active
Other names
Physical Therapy at FAC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD EVONS BERLYN P.T., OCS, MTC (PRESIDENT)
(928) 556-0776
Entity
Organization
Contact information
Practice address
1200 W ROUTE 66, FLAGSTAFF, AZ 86001-6238
(928) 556-0776
Mailing address
1200 W ROUTE 66, FLAGSTAFF, AZ 86001-6238
(928) 556-0776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AZPT1463
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1463
AZ PT NUMBER
AZ
Enumeration date
02/13/2007
Last updated
08/22/2020
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