Provider Demographics
NPI:1013137462
Name:BERLIN, CINDY T (PT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:T
Last Name:BERLIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 MALLARD WAY
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-2258
Mailing Address - Country:US
Mailing Address - Phone:724-662-0422
Mailing Address - Fax:877-858-8058
Practice Address - Street 1:38 MALLARD WAY
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-2258
Practice Address - Country:US
Practice Address - Phone:724-662-0422
Practice Address - Fax:877-858-8058
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007044L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics