Jeremy Bergman

NPI #1053625533 in Jonesboro, Arkansas

Provider Information

NPI Number: 1053625533
Entity Type: Individual
Name: Jeremy Bergman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 27, 2010
Last Updated: Jul 27, 2010

Practice Location

Address: 708A WINDOVER RD
City: Jonesboro
State: Arkansas
ZIP Code: 72401-6064
Phone: (870) 219-0829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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