BERGAN JAYDE JOHNSEN

COUNCIL BLUFFS, IA
NPI1740950146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  110375)
Enumeration Date2021-09-16
Last Update Date2021-09-16
Business Address
BERGAN JAYDE JOHNSEN PTA
3000 RISEN SON BLVD
COUNCIL BLUFFS, IA 51503-1911
Phone number: 712-366-9655
Mailing Address
BERGAN JAYDE JOHNSEN PTA
2396 SHARON AVE
LOGAN, IA 51546-5028
Phone number: 712-592-3358
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