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1922308964
KEVIN BERG
WAUKESHA, WI
NPI
1922308964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 285-19)
Enumeration Date
2010-10-25
Last Update Date
2013-08-21
Business Address
-- KEVIN BERG PTA
1210 WOODBURY CMN UNIT D
WAUKESHA, WI 53189-7780
Phone number: 262-542-8949
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Mailing Address
-- KEVIN BERG PTA
1210 WOODBURY CMN UNIT D
WAUKESHA, WI 53189-7780
Phone number: 262-542-8949
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