Individual
MR. JOHN ANDREW BERGEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
10235 S 51ST ST, PHOENIX, AZ 85044-5218
(480) 889-3206
Mailing address
20825 N 23RD PL, PHOENIX, AZ 85024-4426
(602) 569-1065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0237A
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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