Individual
CAROL M BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5218 FLEMING ST, PORT CHARLOTTE, FL 33981-1842
(941) 866-0304
Mailing address
5218 FLEMING ST, PORT CHARLOTTE, FL 33981-1842
(941) 866-0304
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13608
FL
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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