MEDICARE: KAREN D BERG PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9210	CO

General Provider Information

NPI Number	:	1578666889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN D BERG PT

Provider Business Mailing Address
First Line	:	PO BOX 4245
Second Line	:
City	:	FRISCO
State	:	CO
Zip	:	80443-4245
Country	:	US
Telephone Number	:	970-668-0888
Fax Number	:	970-668-0227

Provider Business Practice Location Address
First Line	:	600 S CHERRY ST
Second Line	:	STE 325
City	:	DENVER
State	:	CO
Zip	:	80291-0001
Country	:	US
Telephone Number	:	970-668-0227
Fax Number	:	970-453-4364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/08/2007

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Directions to “ KAREN D BERG PT” Practice Location

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