Tracy Berg, PTA

NPI #1134437023 in Blaine, Washington

Provider Information

NPI Number
1134437023
Entity Type
Individual
Name
Tracy Berg, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 14, 2010
Last Updated
Sep 14, 2010

Practice Location

Address
250 G ST
City
Blaine
ZIP Code
98230-4019
Phone
(360) 332-8167

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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