Individual
MRS. KELLY BERNHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
200 GLENDOLA AVE NW, WARREN, OH 44483-1295
(330) 847-6510
Mailing address
200 GLENDOLA AVE NW, WARREN, OH 44483-1295
(330) 847-6510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07443
OH
225200000X
Physical Therapy Assistant
TE008586
PA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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