Bruce Thomas Bergen PTA

NPI 1245582535 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1245582535
Gender Male
Enumeration Date 10/10/2012
Last Updated 10/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
34921 US HIGHWAY 19 N
SUITE 450
PALM HARBOR FL, 34684-1969, US
Phone (800) 251-8998
Fax (727) 573-2648
Business Location
34921 US HIGHWAY 19 N
SUITE 450
PALM HARBOR FL, 34684-1969, US
Phone (800) 251-8998
Fax (727) 573-2648
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA 15613
Remove 1245582535 NPI Number
 

According to our database, Bruce Thomas Bergen PTA NPI is 1245582535, taxonomy code is 225200000X and license number is PTA 15613, license state is located at Florida. Bruce Thomas Bergen PTA physically located at 34921 Us Highway 19 N, Palm Harbor FL, 34684-1969. NPI Number Bruce Thomas Bergen PTA has the Individual type.

Sponsored links

1245582535 NPI number is provided on an as is basis without warranty of any kind. 1245582535 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Thomas Bergen PTA are for informational purposes only.