Individual
HOLLY BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20 N WEST ST, FERNLEY, NV 89408-9799
(775) 575-5508
Mailing address
4090 SANTA FE DR, FALLON, NV 89406-5246
(775) 867-3887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1242
NV
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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