DAVID BERGSTROM

BEND, OR
NPI1437768306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  63743)
Additional Taxonomies2251X0800X Physical Therapist, Orthopedic
(Licence: OR  63743)
Enumeration Date2020-07-27
Last Update Date2020-08-11
Business Address
DAVID BERGSTROM DPT
1160 SW SIMPSON AVE STE 200
BEND, OR 97702-3542
Phone number: 541-322-9045
Mailing Address
DAVID BERGSTROM DPT
5107 LONDON RD
DULUTH, MN 55804-2414
Phone number: 218-370-1499