Individual
JASON BERBERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 S 4TH ST, LE SUEUR, MN 56058-2203
(507) 822-0295
Mailing address
604 W CENTRAL ST, SPRINGFIELD, MN 56087-1114
(507) 822-0295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2948
MN
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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