Bertucci, Kevin Dominic

Bertucci, Kevin Dominic is an individual health care provider with primary practice located at 625 Stevens St , Medford OR 97504-6719. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bertucci, Kevin Dominic can be contacted via phone (541) 864-2021.

Contact Information

Primary practice address
625 Stevens St Medford OR 97504-6719
Phone: (541) 864-2021
Fax: (541) 864-1878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4449 Oregon

Profile Details

NPI number 1255592606
LBN Legal business name Bertucci, Kevin Dominic
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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