| NPI | 1649925124 |
|---|---|
| Former Name | TAYLOR BERGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305217625) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61079722) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2026-04-30 |