Individual
ANNA MARIE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1900 GRAND AVE, SPENCER, IA 51301-2200
(712) 262-7141
Mailing address
3670 WHITE AVE, HARTLEY, IA 51346-7645
(507) 766-4322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
114411
IA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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