Individual
ANDREW MICHAEL BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
71121 HWY 21, STE D, COVINGTON, LA 70433
(985) 898-3979
(985) 898-3981
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08764R
LA
Other
Enumeration date
03/21/2014
Last updated
10/24/2016
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