NPI | 1831462837 |
---|---|
Other Name | MOLLY BERGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006715) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4747) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2025-01-07 |