Individual
MRS. PENNY REGINA BERGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
(508) 478-7752
Mailing address
11 ANDREW DR, SUTTON, MA 01590-1808
(508) 865-1336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3693
MA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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