Individual
NICOLE R BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
600 N HOLTZCLAW AVE, STE 100, CHATTANOOGA, TN 37404-1242
(423) 622-0500
(423) 622-0564
Mailing address
4204 BENTON DR, CHATTANOOGA, TN 37406-1256
(423) 227-0386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT05322
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3659241
—
TN
Enumeration date
10/06/2005
Last updated
07/08/2007
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