Individual
BRANDON BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4303 W 24TH AVE, KENNEWICK, WA 99338-1963
(509) 572-3836
Mailing address
655 S WILLOW ST, MANCHESTER, NH 03103-5714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3156-19
WA
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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