Individual
MR. KENNETH WARREN BERDEEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
220 HALEY RD, LEDYARD, CT 06339
(401) 932-8050
Mailing address
220 HALEY RD, LEDYARD, CT 06339
(401) 932-8050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001179
CT
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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