Individual
TAIPA S. BERWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5542
(678) 679-1261
Mailing address
6320 BROWNLOW CT, CUMMING, GA 30040-9544
(252) 412-9557
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005780
GA
Other
Enumeration date
07/30/2013
Last updated
02/18/2019
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