Individual
CASEY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 WASHINGTON AVE, ORTONVILLE, MN 56278-1357
(320) 839-4271
(320) 839-4196
Mailing address
22 3RD AVE S, LONG PRAIRIE, MN 56347-1502
(320) 839-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8709
MN
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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