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Individual

MR. BRIAN KEITH BERNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1557 RUBY DR, PERRIS, CA 92571-2919
(951) 623-3126
Mailing address
1557 RUBY DR, PERRIS, CA 92571-2919
(951) 623-3126

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6483
CA

Other

Enumeration date
02/02/2011
Last updated
02/02/2011
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