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Individual

BRANDON R BERGQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1351 FOWLER ST STE 110, RICHLAND, WA 99352-4714
(509) 942-2574
(509) 942-2575
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60969345
WA

Other

Enumeration date
05/04/2020
Last updated
01/12/2021
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