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Individual
MRS. SHARON LYNN BERTRAND
Active
Individual
MRS. SHARON LYNN BERTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0064990
BLUE SHIELD
CA
Enumeration date
07/08/2019
Last updated
07/08/2019
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