CALVIN RAY BERGHOFF

KOKOMO, IN
NPI1992333421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06005078A)
Enumeration Date2020-03-30
Last Update Date2020-03-30
Business Address
CALVIN RAY BERGHOFF PTA
2800 S DIXON RD
KOKOMO, IN 46902-6403
Phone number: 866-738-6128
Mailing Address
CALVIN RAY BERGHOFF PTA
7473 W 200 N
KOKOMO, IN 46901-9663
Phone number: 765-480-3476
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