Individual
KIRSTIN ULLA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
515 19TH AVE SW, WILLMAR, MN 56201-5274
(320) 235-2720
Mailing address
515 19TH AVE SW, WILLMAR, MN 56201-5274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6456
MN
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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