Individual
MR. SCOTT DEAN BERGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
901 ADAMS ST, AFTON, WY 83110-9621
(307) 885-5800
Mailing address
4312 BITTER CREEK RD, AFTON, WY 83110-9777
(307) 886-5208
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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