Individual
LORRAINE SOUDER BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 872-7022
(850) 872-7021
Mailing address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 872-7022
(850) 872-7021
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT13137
FL
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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