Bergen, Bruce Thomas

Bergen, Bruce Thomas is an individual health care provider with primary practice located at 34921 Us Highway 19 N Suite 450, Palm Harbor FL 34684-1969. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bergen, Bruce Thomas can be contacted via phone (800) 251-8998.

Contact Information

Primary practice address
34921 Us Highway 19 N Suite 450 Palm Harbor FL 34684-1969
Phone: (800) 251-8998
Fax: (727) 573-2648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 15613 Florida

Profile Details

NPI number 1245582535
LBN Legal business name Bergen, Bruce Thomas
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2012
Last updated Oct 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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