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Individual

ANGELA K BERGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
50 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 216-2999
(515) 216-2990
Mailing address
50 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 471-9243
(515) 471-9319

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02781
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700104858
IA
Enumeration date
05/13/2010
Last updated
11/21/2011
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