Individual
CATHERINE ELIZABETH BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
33 HANRATTY ST, KINGSTON, NY 12401-5541
(845) 331-4643
Mailing address
33 HANRATTY ST, KINGSTON, NY 12401-5541
(845) 331-4643
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008701-1
NY
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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