Individual
AMBER BJERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6443
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0901
CT
225200000X
Physical Therapy Assistant
Primary
1909
CT
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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