Individual
LAUREN BERGSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2900 E 1ST AVE, SPOKANE, WA 99202-3914
(509) 354-7500
Mailing address
2900 E 1ST AVE, SPOKANE, WA 99202-3914
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00009868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8442154
—
WA
Enumeration date
11/14/2006
Last updated
11/09/2010
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