Individual
MS. DIANE PALMER BERGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
171 HIGH ST, BELFAST, ME 04915-6571
(207) 592-0191
Mailing address
191 CONGRESS ST, BELFAST, ME 04915-6142
(207) 338-3437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1308
ME
225XP0200X
Pediatric Occupational Therapist
Primary
OT1308
ME
Other
Enumeration date
05/15/2007
Last updated
07/01/2013
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