Individual
EMMA ROSE BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05016302A
IN
225100000X
Physical Therapist
Primary
CP053739T
OK
225100000X
Physical Therapist
P23404
NC
Other
Enumeration date
08/09/2024
Last updated
03/05/2026
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