Individual
MRS. DANIELLE NICHOLE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
2 GRACEDALE AVE, GRACEDALE SKILLED NURSING FACILITY, NAZARETH, PA 18064
(610) 746-1908
(610) 746-1901
Mailing address
101 EAST STATE STREET, GENESIS REHAB SERVICES, KENNETT SQUARE, PA 19348
(866) 386-3516
(610) 347-6246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011436
PA
225X00000X
Occupational Therapist
OTR1980
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161891721
—
AR
Enumeration date
03/14/2007
Last updated
10/01/2012
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