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NPI Code Detail

MEDICARE: MICHAEL BERLAM PT, DPT

MEDICARE: MICHAEL BERLAM PT, 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 TherapistPT013013GA
2225100000XPhysical TherapistPT013013GA

General Provider Information

NPI Number : 1881118016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BERLAM PT, DPT
Provider Business Mailing Address
First Line : 1527 DRUID OAKS NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3278
Country : US
Telephone Number : 860-389-3773
Fax Number :
Provider Business Practice Location Address
First Line : 3200 DOWNWOOD CIR NW STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30327-5308
Country : US
Telephone Number : 404-355-0743
Fax Number : 855-238-0019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2017
Last Update Date : 08/23/2017

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Directions to “ MICHAEL BERLAM PT, DPT” Practice Location

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