TRACY BERG

BLAINE, WA
NPI1134437023
Former NameTRACY SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160043890)
Enumeration Date2010-09-14
Last Update Date2010-09-14
Business Address
-- TRACY BERG PTA
250 G ST
BLAINE, WA 98230-4019
Phone number: 360-332-8167
Mailing Address
-- TRACY BERG PTA
4618 BEDFORD AVE
BELLINGHAM, WA 98226-1207
Phone number:
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