Individual
MR. PHILIP A VANDE BERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C.
Contact information
Practice address
3141 CHESTNUT ST, PHILADELPHIA, PA 19104-2816
(215) 895-0497
(215) 895-1943
Mailing address
3141 CHESTNUT ST, PHILADELPHIA, PA 19104-2816
(215) 895-0497
(215) 895-1943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT-003104
PA
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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