Individual provider · NPI-1

Clara Theresa Berryman

Technician/Technologist, Orthoptist · Tampa, FL

NPI number1497114680
StatusActive
Last updated in NPPESFeb 16, 2016

Details

NPI
1497114680
Entity type
Individual (NPI-1)
Name
Clara Theresa Berryman
Sex
Female
Sole proprietor
No
Enumeration date
Feb 16, 2016
Last updated
Feb 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1900X Technician/Technologist, Orthoptist––Yes

Practice location

2608 W Azeele St
#3
Tampa, FL 33609-7100

Phone 813-872-0480 · Fax 813-872-0480

Mailing address

2608 W Azeele St
#3
Tampa, FL 33609-7100

Phone 813-872-0480 · Fax 813-872-0480

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