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Contact Information

ANNETTE L BERGERON, PT
6541 HAVILAND MILL RD
CLARKSVILLE, MD21029-1314
 Phone: 301-854-3711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for ANNETTE L BERGERON · (Female)

NPI Number 1609916014
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 02/07/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 8219
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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