MATTHEW JOSEPH BERGAM

SPOKANE, WA
NPI1336381524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  pt00007864)
Enumeration Date2009-04-02
Last Update Date2009-04-03
Business Address
Mr. MATTHEW JOSEPH BERGAM MPT
1224 E WESTVIEW CT
SPOKANE, WA 99218-3813
Phone number: 509-467-5626
Mailing Address
Mr. MATTHEW JOSEPH BERGAM MPT
12920 E 29TH AVE
SPOKANE VALLEY, WA 99216-0296
Phone number: 509-927-2875