Individual
HEATHER BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 S HURON ST, CHEBOYGAN, MI 49721-2210
(231) 627-4347
Mailing address
10239 N.5 RD, GLADSTONE, MI 49837-9469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007701
MI
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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