Provider Demographics
NPI:1184726564
Name:BERGMAN, KAREN DENISE (MS PT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:DENISE
Last Name:BERGMAN
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:605 HAMMERSMYTH CT
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2559
Mailing Address - Country:US
Mailing Address - Phone:215-513-2932
Mailing Address - Fax:
Practice Address - Street 1:270 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2400
Practice Address - Country:US
Practice Address - Phone:215-513-3950
Practice Address - Fax:215-513-1459
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT012851L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist