Individual
JULIE SUSANNE BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 CENTRE CT, ALAMEDA, CA 94502-6512
(303) 378-8735
Mailing address
311 CENTRE CT, ALAMEDA, CA 94502-6512
(303) 378-8735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15596
CA
Other
Enumeration date
12/20/2012
Last updated
05/05/2021
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