Individual
MEGAN VANDEN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, PCS
Contact information
Practice address
3636B HOLLY GROVE RD, DUNN, NC 28334-9487
(919) 207-1715
Mailing address
3636B HOLLY GROVE RD, DUNN, NC 28334-9487
(919) 207-1715
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
4412
SC
2251P0200X
Pediatric Physical Therapist
Primary
P13619
NC
Other
Enumeration date
08/27/2010
Last updated
01/20/2013
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