Individual
ELISABETH M BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 FISH CREEK THOROUGHFARE, MONTGOMERY, TX 77316-6965
(936) 272-0790
Mailing address
107 N CONCORD VALLEY CIR, SPRING, TX 77382-1390
(937) 344-9549
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1111342
TX
225100000X
Physical Therapist
007742
OH
225100000X
Physical Therapist
61470
OR
Other
Enumeration date
08/23/2007
Last updated
05/14/2024
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