Organization
PREMIER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BERGMAN (ATHLETIC TRAINER)
(937) 469-1993
Entity
Organization
Contact information
Practice address
500 E FRANKLIN ST, CENTERVILLE, OH 45459-5714
(937) 439-3512
Mailing address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
004015
OH
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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