Individual
MS. DEBORAH BERGENDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
60 WEST ST, ROCKY HILL, CT 06067-3518
(860) 529-2521
(860) 563-2640
Mailing address
68 CONCORD ST, EAST HARTFORD, CT 06108-2942
(860) 289-2356
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000974
CT
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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