Individual provider · Type 1 NPI

Frederick William Berggren Jr., PTA, ATC

Physical Therapy Assistant · Groton, CT

NPI number 1245350537 Active

Practice location

495 Gold Star Hwy, SUITE112
Groton, CT 06340-6228

Call (860) 446-8254 Map

Fax (860) 446-8293

Mailing address

21 Ridge Rd, PO Box 3457
Groton, CT 06340-8928

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X000393 (CT)
Physical Therapy Assistant Primary 225200000X1133 (CT)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1245350537

Frederick William Berggren Jr., PTA, ATC's National Provider Identifier is 1245350537, issued on Mar 30, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Groton, CT. The record was last updated on Nov 23, 2010.