Individual
TIFFANY BERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 PARK AVE, OCONTO, WI 54153-1612
(920) 834-6875
Mailing address
N2059 BONNIE LN, MARINETTE, WI 54143-9469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2754-26
—
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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