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Contact Information

MARY BERKLEY, PTA
6706 ROCK FALL CT
CLIFTON, VA20124
 Phone: 703-815-8199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MARY BERKLEY · (Female)

NPI # 1205350527
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 07/28/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 2306603863
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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