MEDICARE: MS. KAREN DENISE BERGMAN MS 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	PT012851L	PA

General Provider Information

NPI Number	:	1184726564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN DENISE BERGMAN MS PT

Provider Business Mailing Address
First Line	:	605 HAMMERSMYTH CT
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-2559
Country	:	US
Telephone Number	:	215-513-2932
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 MAIN ST
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-2400
Country	:	US
Telephone Number	:	215-513-3950
Fax Number	:	215-513-1459

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	07/08/2007

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