Individual
LINDA BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 HIDDEN POND LN, ROSWELL, GA 30075-2481
(770) 687-6959
Mailing address
1015 HIDDEN POND LN, ROSWELL, GA 30075-2481
(770) 687-6959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002912
GA
Other
Enumeration date
09/18/2012
Last updated
09/10/2013
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