Individual
HEATHER CARR BERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
ROLAND PARK PLACE REHAB DEPT., 830 W 40TH ST, BALTIMORE, MD 21211
(410) 243-5700
Mailing address
9608 CROSS RD, PERRY HALL, MD 21128-9592
(240) 383-7371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2276
MD
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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