Individual
KRISTINE BERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 POTTERY AVE, PORT ORCHARD, WA 98366-2010
(360) 876-4461
Mailing address
5356 PINERIDGE DR NE, BREMERTON, WA 98311-2522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60343947
WA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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