Individual
JENNIFER BERWANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 E BROADWAY RD STE 6, MESA, AZ 85208-1156
(480) 354-2911
(480) 984-3169
Mailing address
1234 WHITEFISH STAGE, KALISPELL, MT 59901-2753
(406) 756-7878
(406) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11892
AZ
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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