Individual
BERNADETTE MARIE PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
906 VISTA AVE, PAGE, AZ 86040-1485
(928) 640-3237
Mailing address
PO BOX 3821, PAGE, AZ 86040-3821
(928) 640-3237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3166
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825333
AHCCCS NUMBER
AZ
Enumeration date
11/08/2006
Last updated
01/21/2025
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