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MR. JOHN ANTHONY BERKOVICH PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1407073133

Individual Registrant:
MR. JOHN ANTHONY BERKOVICH PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3146 CROWNVIEW DRIVE  RANCHO PALOS VERDES, CA 90275 US
Tel: 310-548-6896  Fax: --

Contact information for business:
3146 CROWNVIEW DRIVE  RANCHO PALOS VERDES, CA 90275 US
Tel: 310-548-6896  Fax: --

Registration Information:
NPI: 1407073133
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT26104

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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