Calvin Ray Berghoff, PTA

NPI #1992333421 in Kokomo, Indiana

Provider Information

NPI Number
1992333421
Entity Type
Individual
Name
Calvin Ray Berghoff, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 30, 2020
Last Updated
Mar 30, 2020

Practice Location

Address
2800 S DIXON RD
City
Kokomo
State
Indiana
ZIP Code
46902-6403
Phone
(866) 738-6128

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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