Individual
MR. STEVEN WAYNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
385 CHURCH ST, GUILFORD, CT 06437-6003
(203) 453-2844
(203) 453-8772
Mailing address
270 FARMINGTON AVE, SUITE 303, FARMINGTON, CT 06032-1909
(860) 409-4595
(860) 409-4860
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
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