Individual
MRS. BRANDY BERGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18107 N PALOMINO RD, COLBERT, WA 99005-9316
(509) 863-9291
Mailing address
18107 N PALOMINO RD, COLBERT, WA 99005-9316
(509) 863-9291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 60100681
WA
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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