Individual
ROBIN BERGHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PTA
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 610-8145
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 610-8145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06005446A
IN
2255A2300X
Athletic Trainer
Primary
36003783A
IN
Other
Enumeration date
12/09/2021
Last updated
11/29/2023
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