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1356051254
STEPHANIE BERGSTROM
COLD BROOK, NY
NPI
1356051254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010602)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
STEPHANIE BERGSTROM
164 ATWOOD LAKE RD
COLD BROOK, NY 13324-3015
Phone number: 315-717-4800
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Mailing Address
STEPHANIE BERGSTROM
164 ATWOOD LAKE RD
COLD BROOK, NY 13324-3015
Phone number: 315-717-4800
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