Individual
JENNA M BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E SAGINAW ST, EAST LANSING, MI 48823-2740
(517) 337-3080
(517) 337-3082
Mailing address
1575 RAMBLEWOOD DR, SUITE 200, EAST LANSING, MI 48823-6384
(517) 827-1800
(517) 827-1805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016305
MI
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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