Basic Information
| Provider Information | |||||||||
| NPI: | 1447374186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AROMANDO BERSCH | ||||||||
| FirstName: | VICTORIA | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 FOX CT | ||||||||
| Address2: | |||||||||
| City: | HAINESPORT | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080364808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092673252 | ||||||||
| FaxNumber: | 0000000000 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 WYNWOOD DR | ||||||||
| Address2: | |||||||||
| City: | CINNAMINSON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080772440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8568299000 | ||||||||
| FaxNumber: | 8567868130 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA00299600 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.