Individual
JAMIE L BERGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1215 21ST AVE S, SUITE 3200, NASHVILLE, TN 37232-0014
(615) 343-9284
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3617-026
WI
225X00000X
Occupational Therapist
Primary
4967
TN
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3617-026
LICENSE
WI
Enumeration date
07/03/2006
Last updated
03/22/2022
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