Individual
AMBER BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
1000 E 1ST ST, SUITE 404, DULUTH, MN 55805-2297
(218) 625-1884
(218) 722-6515
Mailing address
1000 E 1ST ST, SUITE 404, DULUTH, MN 55805-2297
(218) 625-1884
(218) 722-6515
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
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