Individual
AMY ELIZABETH BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3727 GENE FIELD RD, SAINT JOSEPH, MO 64506-1806
(816) 396-8635
(816) 364-3522
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
091027
IA
225200000X
Physical Therapy Assistant
160007967
IL
225200000X
Physical Therapy Assistant
Primary
2020034015
MO
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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