Individual
MATTHEW C BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1005 VIRGINIA AVE STE 100, ATLANTA, GA 30354-1365
(404) 362-1001
Mailing address
140 SCHLEY AVE, SAVANNAH, GA 31419-3330
(912) 323-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012441
GA
225100000X
Physical Therapist
PT294186
CA
Other
Enumeration date
12/21/2017
Last updated
03/24/2020
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