Individual
WILLIAM G BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
PHYO1438
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023553
—
AK
Enumeration date
11/16/2006
Last updated
08/16/2016
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