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Individual

LUKE DEREK CASONA BERDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
717 E ALFRED ST, WEYAUWEGA, WI 54983, WEYAUWEGA, WI 54983
(920) 867-3121
Mailing address
1336 STONE RIDGE RD APT 57, WAUPACA, WI 54981-8639
(929) 273-9321

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14132-24
WI

Other

Enumeration date
10/19/2018
Last updated
01/28/2022
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