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Individual
SHELLEY BERGER
Active
Individual
SHELLEY BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4084898163
CELL PHONE
CA
Enumeration date
10/26/2016
Last updated
10/13/2021
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