Individual
MR. WARREN A. BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAS
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-5001
Mailing address
36 MASSARI RD, PUEBLO, CO 81001-1924
(719) 557-5817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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