Individual
MS. LEAH BETH BERGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1347
Mailing address
103 NORWAY ST, #27, BOSTON, MA 02115-3427
(617) 851-8317
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8064
MA
Other
Enumeration date
05/07/2007
Last updated
09/23/2009
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