Individual
JONATHAN THOMPSON BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 484-2585
Mailing address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 484-2585
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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