Individual
CARLA RENEE BERSCHEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4560
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3507-026
WI
Other
Enumeration date
12/12/2005
Last updated
07/08/2007
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