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Individual

ALICIA BERGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
350 RAMAPO VALLEY RD STE 100, OAKLAND, NJ 07436-2702
(973) 830-9248
Mailing address
825 BERKLEY ST APT D, NEW MILFORD, NJ 07646-5347
(973) 580-9425

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008957
NY
247200000X
Other Technician
NJ

Other

Enumeration date
05/11/2022
Last updated
11/21/2025
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