Healthcare Provider Details

I. General information

NPI: 1124388640
Provider Name (Legal Business Name): ANICK BERNIER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 FAUNCE CORNER RD STE C
NORTH DARTMOUTH MA
02747-1258
US

IV. Provider business mailing address

375 FAUNCE CORNER RD STE C
NORTH DARTMOUTH MA
02747-1258
US

V. Phone/Fax

Practice location:
  • Phone: 774-425-7906
  • Fax: 774-221-2209
Mailing address:
  • Phone: 774-425-7906
  • Fax: 774-221-2209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19983
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: