Individual
BERGOMY JEANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15 PEARSON AVE APT 2, SOMERVILLE, MA 02144-2305
(617) 501-1969
Mailing address
15 PEARSON AVE APT 2, SOMERVILLE, MA 02144-2305
(617) 501-1969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
224229
MA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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