Individual
LINDSEY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1876 NE HIGHWAY 20, BEND, OR 97701-4833
(541) 382-5531
Mailing address
20631 MARY WAY, BEND, OR 97701-8519
(541) 788-5056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5989
OR
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500619255
—
OR
Enumeration date
03/16/2009
Last updated
04/12/2010
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