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1417187154
MICHELLE BERKOVITZ
GREEN BAY, WI
NPI
1417187154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1051019)
Enumeration Date
2009-07-15
Last Update Date
2009-07-15
Business Address
-- MICHELLE BERKOVITZ
2981 FLEETWOOD DR
GREEN BAY, WI 54313-1379
Phone number: 920-884-7834
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Mailing Address
-- MICHELLE BERKOVITZ
2981 FLEETWOOD DR
GREEN BAY, WI 54313-1379
Phone number:
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