Individual
JACQUELINE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1704 N STATE ST, BELLINGHAM, WA 98225-4605
(360) 207-4488
(360) 207-3310
Mailing address
PO BOX 2281, BELLINGHAM, WA 98227-2281
(360) 207-4488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60657477
WA
Other
Enumeration date
08/17/2016
Last updated
08/18/2019
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