Individual
CALEB BERLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9000 W SURA LN FL 5, GREENFIELD, WI 53228-3477
(414) 246-6800
Mailing address
1719 TERRACE DR, PORT WASHINGTON, WI 53074-1142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16805-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100280337
—
WI
Enumeration date
06/04/2024
Last updated
08/27/2024
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