Individual
KATELYN BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11850 NICHOLAS ST, STE 100, OMAHA, NE 68154-4476
(877) 230-3885
(402) 505-9753
Mailing address
11850 NICHOLAS ST, STE 100, OMAHA, NE 68154-4476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36857
CA
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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