Individual
MS. JENNIFER KAYE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 W MAIN ST, JACKSONVILLE, AR 72076-4215
(501) 982-4578
(507) 982-1253
Mailing address
109 CYPRESS ST, CENTERTON, AR 72719-8991
(479) 633-2416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1600
AR
Other
Enumeration date
11/21/2006
Last updated
12/18/2007
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