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Individual

DR. AMY COLETTA BERCOVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 944-8868
(317) 944-6680
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006402A
IN
225XP0200X
Pediatric Occupational Therapist
31006402A
IN

Other

Enumeration date
08/04/2021
Last updated
01/12/2022
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