Jarred Bernard, D.P.T.
Physical Therapist in Rockford, IL. Individual provider (NPI-1).
NPI number1669986162
StatusActive
Last updated in NPPESJan 12, 2018
Details
- NPI
- 1669986162
- Entity type
- Individual (NPI-1)
- Name
- Jarred Bernard
- Credential
- D.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2017
- Last updated
- Jan 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070022812 | IL | Yes |
Practice location
324 Roxbury RdRockford, IL 61107-5090
Phone 815-398-9491 · Fax 815-381-7498
Mailing address
Box 78534Milwaukee, WI 53278
Phone 815-398-9491 · Fax 815-381-7498
Other practice locations
5875 E Riverside Blvd
Rockford, IL 61114-4937
Rockford, IL 61114-4937
Phone 815-398-9491 · Fax 815-381-7498
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