| Doctor Name: | JUSTIN BERNARDO |
| NPI Number: | 1871969477 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 40QA01621600 |
| Business Practice Address: | 740 Marne Hwy Suite 203 Moorestown, NJ - 080573126 |
| Business Phone Number: | 8569141400 |
| Business Fax Number: | 8562343014 |
| Mailing Address: | 4000 Church Rd, MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080541110 |
| Phone Number: | 8562817500 |
| Fax Number: | 8566385003 |
| NPI Enumeration Date: | 08/18/2015 |
| NPI Last Update Date: | 08/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01621600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |