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Individual

JODI BERGERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
195 COLLYER ST, PROVIDENCE, RI 02904-1869
(401) 793-4083
Mailing address
69 ROCCO DR, BLACKSTONE, MA 01504-1373

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00440
RI

Other

Enumeration date
12/19/2006
Last updated
07/08/2007
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