Individual
MRS. HEATHER BERGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1519 60TH ST, KENOSHA, WI 53140-3954
(262) 656-7500
Mailing address
8551 VENTANA DR UNIT 4423, OAK CREEK, WI 53154-8342
(701) 650-0226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4884-026
WI
Other
Enumeration date
01/04/2011
Last updated
01/18/2013
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