Individual
MR. STEVEN WAYNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8914
CT
225100000X
Physical Therapist
PT24938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8914
CT LICENSE NUMBER
CT
01
—
PT-24938
FL. PHYSICAL THERAPIST LICENSE NUMBER
FL
Enumeration date
08/24/2009
Last updated
09/27/2010
Update your record
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