Individual
MRS. ANNETTE M BERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5757 W THUNDERBIRD RD, SUITE 465, GLENDALE, AZ 85306-4641
(602) 843-9945
(602) 843-8775
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0042
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096025
—
AZ
01
—
Z113264
MEDICARE GROUP
AZ
Enumeration date
10/11/2005
Last updated
06/27/2013
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