Individual
MS. BERTHIDE JOACHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4375 N MAJOR DR APT 1811, BEAUMONT, TX 77713-9556
(954) 778-9110
Mailing address
4375 N MAJOR DR APT 1811, BEAUMONT, TX 77713-9556
(954) 778-9110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213036
TX
224Z00000X
Occupational Therapy Assistant
OTA10430
FL
Other
Enumeration date
12/24/2007
Last updated
10/17/2018
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