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Individual
MRS. JOYCE ELLEN BERGER
Active
Individual
MRS. JOYCE ELLEN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-000744
IL
225XN1300X
Neurorehabilitation Occupational Therapist
056-000744
IL
225XP0200X
Pediatric Occupational Therapist
056-000744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891028247
EQUESTRIAN CONNECTION NFP
IL
Enumeration date
04/30/2011
Last updated
04/30/2011
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