MR. Philip William Bergold, PT

NPI #1629073135 in Greendale, Wisconsin

Provider Information

NPI Number: 1629073135
Entity Type: Individual
Name: MR. Philip William Bergold, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 21, 2005
Last Updated: Feb 7, 2016

Practice Location

Address: 5889 RIVERSIDE DR
City: Greendale
State: Wisconsin
ZIP Code: 53129-2817
Phone: (414) 940-7278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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