Individual
JULIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
PO BOX 4400, ABERDEEN, SD 57402-4400
(605) 622-5000
(605) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1362
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1292
ND LICENSE
ND
01
—
1362
SD LICENSE
SD
Enumeration date
11/02/2006
Last updated
05/28/2015
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