Individual
MISS LYNNETTE MARIE BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4243 THOUSAND OAKS DR, #158, SAN ANTONIO, TX 78217-1801
(210) 951-1151
Mailing address
4243 THOUSAND OAKS DR, #158, SAN ANTONIO, TX 78217-1801
(210) 951-1151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1063533
OR
225X00000X
Occupational Therapist
Primary
116606
TX
Other
Enumeration date
06/25/2008
Last updated
03/29/2017
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