Individual
JEFFREY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 BLACKBERRY LN, BENNINGTON, VT 05201-2300
(802) 753-5001
Mailing address
2 BLACKBERRY LN, BENNINGTON, VT 05201-2300
(802) 753-5001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0000485
VT
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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