MEDICARE: CLAUDIA J BERNARDO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT002991	PA

General Provider Information

NPI Number	:	1619952173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA J BERNARDO PT

Provider Business Mailing Address
First Line	:	2801 AUTUMNWOOD DR
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-1505
Country	:	US
Telephone Number	:	412-487-4391
Fax Number	:

Provider Business Practice Location Address
First Line	:	6318 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1717
Country	:	US
Telephone Number	:	412-422-8340
Fax Number	:	412-421-5194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	07/08/2007

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