Individual
CHARINA BERNARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-3296
(219) 836-3295
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005561A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201342020
—
IN
01
—
471400353
MEDICARE PTAN
IN
Enumeration date
01/11/2016
Last updated
03/06/2023
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