Individual
SHERRY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 3 SOUTH, STANFORD, MT 59479
(406) 566-2466
Mailing address
215 3 SOUTH, STANFORD, MT 59479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-1622
MT
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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