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NPI Code Detail

MEDICARE: KIANA N BERRY DPT

MEDICARE: KIANA N BERRY DPT
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
12251X0800XOrthopedic Physical Therapist1347346TX

General Provider Information

NPI Number : 1851964340
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIANA N BERRY DPT
Provider Business Mailing Address
First Line : 7575 SAN FELIPE ST STE 125
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1776
Country : US
Telephone Number : 713-270-5900
Fax Number : 713-270-5910
Provider Business Practice Location Address
First Line : 7575 SAN FELIPE ST STE 125
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1776
Country : US
Telephone Number : 713-270-5900
Fax Number : 713-270-5910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 12/07/2021

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Directions to “ KIANA N BERRY DPT” Practice Location

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