Individual
BERKELEY FORTUNE CURRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4100 S FERDON BLVD STE A1, CRESTVIEW, FL 32536-5287
(850) 682-8388
Mailing address
4960 FOREST CREEK DR, PACE, FL 32571-8961
(850) 619-0559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40833
FL
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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