Individual
DR. KATHLEEN ANN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
26 N 10TH ST., CLARKDALE, AZ 86324-1146
(850) 445-4821
(850) 386-2765
Mailing address
PO BOX 1146, CLARKDALE, AZ 86324-1146
(850) 445-4821
(850) 386-2765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
LPT-30124
AZ
225100000X
Physical Therapist
PT 16091
FL
225100000X
Physical Therapist
Primary
PT16091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678168396
—
FL
05
—
888125100
—
FL
Enumeration date
02/19/2006
Last updated
09/05/2018
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