Individual
DARANEE BERG
Active
Individual
DARANEE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT907
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010153089
BLUE CROSS OF IDAHO
ID
01
—
TD322
BLUE CROSS OF IDAHO
ID
Enumeration date
02/08/2006
Last updated
02/16/2024
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