MR. Frederick William Berggren JR., PTA, ATC

NPI #1245350537 in Groton, Connecticut

Provider Information

NPI Number: 1245350537
Entity Type: Individual
Name: MR. Frederick William Berggren JR., PTA, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, ATC
Enumeration Date: Mar 30, 2007
Last Updated: Nov 23, 2010

Practice Location

Address: 495 GOLD STAR HWY
Address 2: SUITE112
City: Groton
State: Connecticut
ZIP Code: 06340-6228
Phone: (860) 446-8254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapy Assistant	225200000X	Primary

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