Provider Demographics
NPI:1407068356
Name:BERKOWITZ, ARIANNA Z (MAC, MPT)
Entity Type:Individual
Prefix:MR
First Name:ARIANNA
Middle Name:Z
Last Name:BERKOWITZ
Suffix:
Gender:F
Credentials:MAC, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9509 FOOTPRINT PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2052
Mailing Address - Country:US
Mailing Address - Phone:443-745-1560
Mailing Address - Fax:
Practice Address - Street 1:9509 FOOTPRINT PL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2052
Practice Address - Country:US
Practice Address - Phone:443-745-1560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD192642251X0800X
MDU01718171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic