Individual
ELIZABETH CELIA BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CIMT, CMTPT
Contact information
Practice address
300B TEMPLE LAKE DR STE 1, COLONIAL HEIGHTS, VA 23834-2973
(804) 524-9036
(804) 524-9039
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203929
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891738605
—
VA
01
—
192301
ANTHEM JW PHYSICAL THERAP
VA
01
—
192953
BCBS (PHYSICAL THERAPY)
VA
01
—
258462
SOUTHERN HEALTH
VA
01
—
5856061
AETNA
VA
01
—
98999
OPTIMA HEALTH
VA
Enumeration date
06/13/2006
Last updated
04/12/2018
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