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1063758969
DIANA L BERGBAUER
MEDIA, PA
NPI
1063758969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: PA PT002558E)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
-- DIANA L BERGBAUER PT
209 MARTINS LN
MEDIA, PA 19063-5854
Phone number: 610-653-5190
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Mailing Address
-- DIANA L BERGBAUER PT
209 MARTINS LN
MEDIA, PA 19063-5854
Phone number: 610-653-5190
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