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Individual
MRS. BOBBIE JO VERGO
Active
Individual
MRS. BOBBIE JO VERGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005110A
IN
225XM0800X
Mental Health Occupational Therapist
31005110A
IN
225XP0200X
Pediatric Occupational Therapist
31005110A
IN
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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