Individual
COURTNEY BERGHEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
18 S KINGSHIGHWAY BLVD, APT 7P, SAINT LOUIS, MO 63108-1356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010041399
MO
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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