Most Relevant Information
Provider Data
| NPI Number: | 1003025156 |
| Provider Name: | JOSEPH CHARLES BERRY P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT20119 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4227 SUMMIT MANOR CT APT 103
FAIRFAX
VA
220335734
Practice Location Phone/Fax
| Phone: | 9414477992 |
| Fax: |
Provider Mailing Location
4227 SUMMIT MANOR CT APT 103
FAIRFAX
VA
220335734
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |