Individual
LAETETIA CLAIRE BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
9975 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3316
(301) 738-9691
(301) 738-8897
Mailing address
2092 GAITHER RD, SUITE 100, ROCKVILLE, MD 20850-4011
(301) 738-9691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07106
MD
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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