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Individual

CYNTHIA LOUISE BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
9449 W FOREST HOME AVE, HALES CORNERS, WI 53130-1611
(414) 529-6888
(414) 529-1271
Mailing address
9449 W FOREST HOME AVE, HALES CORNERS, WI 53130-1611

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2767-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40169200
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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