Individual
DR. AMANDA ROSE BERGERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
321 MIDDLEFIELD RD, MENLO PARK, CA 94025-3500
(650) 736-2000
(650) 736-3406
Mailing address
321 MIDDLEFIELD RD STE 130, MENLO PARK, CA 94025-4010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16164
CA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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