Provider Demographics
NPI:1447374186
Name:AROMANDO BERSCH, VICTORIA (PT)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:AROMANDO BERSCH
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 1:11 FOX CT
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-4808
Mailing Address - Country:US
Mailing Address - Phone:609-267-3252
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:1700 WYNWOOD DR
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-2440
Practice Address - Country:US
Practice Address - Phone:856-829-9000
Practice Address - Fax:856-786-8130
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00299600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist