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Individual

BENJAMIN L BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
12201 RENFERT WAY STE 115, AUSTIN, TX 78758-5367
(512) 551-0375
(512) 551-0634
Mailing address
12201 RENFERT WAY STE 115, AUSTIN, TX 78758-5367
(512) 551-0375
(512) 551-0634

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117244
TX

Other

Enumeration date
03/31/2017
Last updated
03/26/2018
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