Organization
DIVINE THERAPY AND WELLNESS AR,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BERKOVITCH DPT (PRESIDENT)
(718) 249-6048
Entity
Organization
Contact information
Practice address
1422 FRESNO ST, FORT SMITH, AR 72901-7065
(718) 249-6048
Mailing address
794 ARBUCKLE AVE, WOODMERE, NY 11598-2706
(718) 249-6048
(718) 228-2644
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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