NPI 1154534360

Leah Beth Bergmann, PTA

Practitioner Physical Therapy Assistant Boston, MA

Practice location

Address: 133 Brookline Ave, Boston, MA 02215-3904
Phone: (617) 421-1347
Mailing address: 103 Norway St #27, Boston, MA 02115-3427

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8064 (MA)

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Registry record

NPI: 1154534360
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2007
Record last updated: 23 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.