Tabitha Lynn Olsen-bergman, LAC | |
1506 30th Ave S, Suite A, Moorhead, MN 56560-5195 | |
(218) 422-5920 | |
Not Available |
Full Name | Tabitha Lynn Olsen-bergman |
---|---|
Gender | Female |
Speciality | Acupuncturist |
Location | 1506 30th Ave S, Moorhead, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851835979 | NPI | - | NPPES |
1825 | Other | MN | MINNESOTA STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 1825 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tabitha Lynn Olsen-bergman, LAC 1506 30th Ave S, Suite A, Moorhead, MN 56560-5195 Ph: (218) 422-5920 | Tabitha Lynn Olsen-bergman, LAC 1506 30th Ave S, Suite A, Moorhead, MN 56560-5195 Ph: (218) 422-5920 |
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