Individual
DR. MARY BETH BERARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.T.
Contact information
Practice address
620 TENNIS AVE, GLENSIDE, PA 19038-1705
(215) 341-1269
Mailing address
620 TENNIS AVE, GLENSIDE, PA 19038-1705
(215) 341-1269
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC007145L
PA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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