Doctor Name: | MR. GREGORY DANIEL BERGER |
NPI Number: | 1568447373 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 11182 |
Business Practice Address: | 142 Park St Dorchester, MA - 021221228 |
Business Phone Number: | 6172652224 |
Business Fax Number: | |
Mailing Address: | 57 Ryder Ave, MELROSE |
State: | MA |
Postal Code: | 021765419 |
Phone Number: | 6175198076 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |