Individual
KELSIE BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
PO BOX 731, NEWBURGH, IN 47629-0731
(812) 598-5600
Mailing address
PO BOX 731, NEWBURGH, IN 47629-0731
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
32003822A
IN
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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