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Individual
JONATHAN THOMPSON BERRY
Active
Individual
JONATHAN THOMPSON BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5246
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5246
LICENSE
AL
Enumeration date
07/02/2020
Last updated
05/05/2025
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