Individual
SAMANTHA BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, AT
Contact information
Practice address
4174 PORTER RD, ROOTSTOWN, OH 44272-9576
(330) 571-1230
Mailing address
4174 PORTER RD, ROOTSTOWN, OH 44272-9576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
005025
OH
Other
Enumeration date
10/27/2014
Last updated
04/26/2017
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