Individual
MRS. JAMIE BERGENFELD ASARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
119 HAMILTON TER, WELLINGTON, FL 33414-4339
(561) 793-6648
Mailing address
3185 HARTRIDGE TER, WELLINGTON, FL 33414-3431
(561) 252-4744
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
16205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886295800
—
FL
Enumeration date
01/04/2006
Last updated
04/02/2024
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