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Individual

SETH BERKEBILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
732B S LUMINA AVE, WRIGHTSVILLE BEACH, NC 28480-2168
(910) 520-2702
(910) 509-9397
Mailing address
732B S LUMINA AVE, WRIGHTSVILLE BEACH, NC 28480-2168
(910) 520-2702

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5204
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7301749
NC
Enumeration date
01/24/2007
Last updated
10/08/2010
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