Individual
REBECCA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
20310 19TH AVE NE, SHORELINE, WA 98155-1261
(206) 367-5853
Mailing address
12647 2ND AVE S, SEATTLE, WA 98168-2676
(917) 407-6185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60038495
WA
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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