Individual
JENNIFER S BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
213 E BUTLER RD BLDG E2, MAULDIN, SC 29662-2172
(864) 346-0391
(678) 840-2112
Mailing address
PO BOX 369, SIMPSONVILLE, SC 29681-0369
(864) 329-4211
(678) 840-2112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2870
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1467
—
SC
Enumeration date
10/26/2006
Last updated
07/09/2007
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