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MR. RAYMOND A BERARDINELLI PHYSICAL THERAPIST
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1093729907
Individual Registrant:MR. RAYMOND A BERARDINELLI PHYSICAL THERAPIST
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
12848 DUNNINGS HWY SUITE 1 CLAYSBURG, PA 16625-8285 US
Tel: 814-884-8489 Fax: --
Tel: 814-884-8489 Fax: --
Contact information for business:
12848 DUNNINGS HWY SUITE 1 CLAYSBURG, PA 16625-8285 US
Tel: 814-884-8489 Fax: --
Tel: 814-884-8489 Fax: --
Registration Information:
NPI: 1093729907
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | PA | PT015899 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0019507680028 | PA | 05 |
