Individual
LESLEY L BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
730 SW BONNETT WAY, SUITE 3100, BEND, OR 97702-3205
(541) 797-6316
(541) 797-6319
Mailing address
730 SW BONNETT WAY, SUITE 3100, BEND, OR 97702-3205
(541) 797-6316
(541) 797-6319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06205
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650825
—
OR
Enumeration date
09/28/2012
Last updated
08/20/2016
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