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Individual

RHONDA G BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9701 MONROVIA ST, LENEXA, KS 66215-1564
(913) 492-1130
Mailing address
1020 NE COPPERWOOD DR, LEES SUMMIT, MO 64086-0020
(913) 449-9471

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
116113
MO
225200000X
Physical Therapy Assistant
Primary
14-00462
KS

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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