| NPI | 1093998015 |
|---|---|
| Former Name | ROBIN JEANNE BERGQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: OR 60890) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA PT 22975) |
| 2251S0007X Physical Therapist Sports (Licence: CA PT22975) | |
| 2251S0007X Physical Therapist Sports (Licence: OR 60890) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2016-10-05 |