Individual
PATRICIA BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
425 S 7TH ST, BISMARCK, ND 58504-5801
(701) 258-8388
Mailing address
2502 HOOVER AVE, BISMARCK, ND 58501-2242
(701) 471-9683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
653
ND
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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