MR. Myles Jacob Berg, MPT

NPI #1205180627 in Ottawa, Illinois

Provider Information

NPI Number: 1205180627
Entity Type: Individual
Name: MR. Myles Jacob Berg, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 1100 E NORRIS DR
City: Ottawa
State: Illinois
ZIP Code: 61350-1604
Phone: (815) 431-5230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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