Organization
WAVE PHYSICAL THERAPY, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE RENEE BERGER MSPT (OWNER)
(423) 227-0386
Entity
Organization
Contact information
Practice address
4204 BENTON DR, CHATTANOOGA, TN 37406-1256
(423) 227-0386
Mailing address
4204 BENTON DR, CHATTANOOGA, TN 37406-1256
(423) 227-0386
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5322
TN
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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