Individual
JASON THOMAS BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1125 FORREST AVE STE 101, DOVER, DE 19904-3483
(302) 735-4900
(302) 735-4900
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0014240
DE
225100000X
Physical Therapist
PT 27059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27059
PHYSICAL THERAPY
FL
Enumeration date
03/26/2012
Last updated
02/16/2021
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