JEREMY SCOTT BERRY

TRINIDAD, CO
NPI1124716444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  0014693)
Enumeration Date2023-04-25
Last Update Date2023-04-25
Business Address
JEREMY SCOTT BERRY PTA
409 BENEDICTA AVE
TRINIDAD, CO 81082
Phone number: 719-846-9291
Mailing Address
JEREMY SCOTT BERRY PTA
1606 HAYES STREET
TRINIDAD, CO 81082
Phone number: 419-309-0560
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