JEFFERY C BERG

SPOKANE, WA
NPI1780401901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P161592443)
Enumeration Date2024-09-20
Last Update Date2024-09-20
Business Address
JEFFERY C BERG
730 N HAMILTON ST
SPOKANE, WA 99202-2045
Phone number: 509-468-7686
Mailing Address
JEFFERY C BERG
730 N HAMILTON ST
SPOKANE, WA 99202-2045
Phone number: 509-468-7686
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