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Individual

IAN BERTRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6106 HEALTH CENTER LN, FREDERICKSBURG, VA 22407-6687
(540) 785-1120
Mailing address
6106 HEALTH CENTER LN, FREDERICKSBURG, VA 22407-6687
(540) 785-1120

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209130
VA

Other

Enumeration date
11/19/2014
Last updated
11/19/2014
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