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General NPI Number Information
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NPI Number | 1346960200
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Entity Type | Individual
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Provider Name | COLLEEN ROSE BERRY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1395 COMMERCE WAY STE 112
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City | ATTLEBORO
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State | MA
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Zip | 02703-4695
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Country | US
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Telephone | 508-455-5740
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Fax | 508-455-5945
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Provider Business Mailing Address
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Address Line | 4 RICHMOND SQ STE 200
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City | PROVIDENCE
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State | RI
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Zip | 02906-5117
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Country | US
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Telephone | 401-433-4172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02108800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL27237
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License Number State | MA
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