| Doctor Name: | MR. ERIC K BERQUIST |
| NPI Number: | 1376559419 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 18754 |
| Business Practice Address: | 19785 Crystal Rock Dr Ste 309 Germantown, MD - 208744700 |
| Business Phone Number: | 2407246781 |
| Business Fax Number: | 8886077117 |
| Mailing Address: | 19785 Crystal Rock Dr, Ste 309 GERMANTOWN |
| State: | MD |
| Postal Code: | 208744700 |
| Phone Number: | 2407246781 |
| Fax Number: | 8886077117 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 08/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 18754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |