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Bergan Johnsen, PTA
NPI 1740950146 · on the registry since 2021
Practice
- Address
- 3000 Risen Son Blvd
Council Bluffs, IA 51503 - Phone
- (712) 366-9655
- Organisation at this address
- Kindred
Risen Son Christian Village
Chapters Council Bluffs Opco LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa