| NPI | 1942275789 |
|---|---|
| Former Name | NANCY E BERGFALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 25786) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |