Individual
ANDRUE BERGMOOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24124 OTTER RD, NEW BOSTON, MI 48164-9678
(734) 693-1326
Mailing address
24124 OTTER RD, NEW BOSTON, MI 48164-9678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501016942
MI
225100000X
Physical Therapist
Primary
PT024140
PA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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