John Andrew Bergen JR. P.T.A

NPI 1356560775 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1356560775
Gender Male
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10235 S 51ST ST
PHOENIX AZ, 85044-5218, US
Phone (480) 889-3206
Business Location
20825 N 23RD PL
PHOENIX AZ, 85024-4426, US
Phone (602) 569-1065
Taxonomy Code 225200000X
License State Arizona
License Number 0237A
Remove 1356560775 NPI Number

According to our database, Mr. John Andrew Bergen JR. P.T.A NPI is 1356560775, taxonomy code is 225200000X and license number is 0237A, license state is located at Arizona. John Andrew Bergen JR. P.T.A physically located at 10235 S 51st St, Phoenix AZ, 85044-5218. NPI Number John Andrew Bergen JR. P.T.A has the Individual type.

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1356560775 NPI number is provided on an as is basis without warranty of any kind. 1356560775 is maintained by the National Plan & Provider Enumeration System. The contents of John Andrew Bergen JR. P.T.A are for informational purposes only.