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Individual

AMBER BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R./L.

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102903
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106G2BE
BCBS MN INDIVIDUAL
MN
05
40882400
WI
01
6404781
MN MEDICA INDIVIDUAL
MN
05
941498300
MN
Enumeration date
09/16/2006
Last updated
08/18/2011
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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