Individual
BRUCE THOMAS BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
34921 US HIGHWAY 19 N, SUITE 450, PALM HARBOR, FL 34684-1969
(800) 251-8998
(727) 573-2648
Mailing address
34921 US HIGHWAY 19 N, SUITE 450, PALM HARBOR, FL 34684-1969
(800) 251-8998
(727) 573-2648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 15613
FL
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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