Individual
MRS. JEWELL ELIZABETH BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
9700 STONE STREET RD, LOUISVILLE, KY 40272
(502) 995-6600
Mailing address
7113 BEDUM LANE, LOUISVILLE, KY 40258
(502) 644-5347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132210
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132210
OCCUPATIONAL THERAPY LISCENSE
KY
Enumeration date
08/07/2017
Last updated
08/07/2017
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