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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TERRI LAKE BERKSHIRE, MS PT

Active

Physical Therapy Assistant · CONWAY, AR

Registration Details

NPI Number
1326093279
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2006 (19.916387427202 yrs)
Last Updated
Mar 7, 2019
Licenses
2472 (AR)
2305203594 (VA)

Practice Information

Address
1500 MUSEUM ROAD SUITE 104
CONWAY THERAPY SERVICES
CONWAY, AR, 72032
Browse AR providers · Browse ZIP 72032
Phone
5013293804
Fax
8013290718
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in CONWAY, AR

Name Credential NPI
LORA A MIZE DPT 1356332415
MS. LETITIA MCMASTER DPT 1205881588
MS. DEBORAH DAVIS MSPT 1669428314
ELLEN R HAVERSTICK PT 1720029655
MR. JOHN GREGORY HOGUE PT 1225041320
MRS. MOLSIE RUTH ELLIS PTMS 1699888669
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.