Individual
NILS BERGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 JACOLYN DR SW, CEDAR RAPIDS, IA 52404-1288
(319) 899-3536
Mailing address
1010 RACHAEL ST APT 201, NORTH LIBERTY, IA 52317-7602
(641) 530-5075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
078636
IA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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