Individual
MS. TINA MARIE BERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
175 W LOWRY LN, LEXINGTON, KY 40503-3012
(859) 475-4305
Mailing address
3569 CEPHAS WAY, LEXINGTON, KY 40503-4389
(859) 229-3812
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
193200000X
KY
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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