Individual
BRETT BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., OTR/L
Contact information
Practice address
2350 LIMON DR # D12, FORT COLLINS, CO 80525-7622
(970) 204-4331
(970) 204-6712
Mailing address
909 CANYON CT, WINDSOR, CO 80550-5355
(970) 492-5416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2121
CO
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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