Individual
BERNADETTE JOAN DEWIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0001266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035430
AMERIGROUP
GA
01
—
308507
WELLCARE
GA
01
—
505898257B
PEACH STATE HEALTH PLAN
GA
05
—
505898257N
—
GA
Enumeration date
11/30/2006
Last updated
10/27/2025
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