Individual
MS. BETH A BERGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
828 DAVISON RD, LOCKPORT, NY 14094-5228
(716) 861-2092
(716) 433-3163
Mailing address
126 N HARVEST ST, WILLIAMSVILLE, NY 14221-6619
(716) 861-2092
(716) 433-3163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017349
NY
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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