PHILIP A VANDE BERG

PHILADELPHIA, PA
NPI1609832112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT-003104)
Enumeration Date2006-04-24
Last Update Date2007-07-08
Business Address
Mr. PHILIP A VANDE BERG M.S., A.T.C.
3141 CHESTNUT ST
PHILADELPHIA, PA 19104-2816
Phone number: 215-895-0497
Mailing Address
Mr. PHILIP A VANDE BERG M.S., A.T.C.
3141 CHESTNUT ST
PHILADELPHIA, PA 19104-2816
Phone number: 215-895-0497
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