Organization
BRAVEHEARTS AT THE BERGMANN CENTER
Active
Other names
BraveHearts Therapeutic Riding and Education Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLF M. GUNNAR M.D. (CHAIRMAN OF THE BOARD OF DIRECTORS)
(708) 485-5629
Entity
Organization
Contact information
Practice address
4950 IL ROUTE 173, POPLAR GROVE, IL 61065-9718
(815) 765-2113
(815) 943-8426
Mailing address
4950 IL ROUTE 173, POPLAR GROVE, IL 61065-9718
(815) 765-2113
(815) 943-8426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008709
IL
225X00000X
Occupational Therapist
056004082
IL
235Z00000X
Speech-Language Pathologist
146004807
IL
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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