Individual
FREDLYN SUE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6400 LAUREL CANYON BLVD, SUITE # 400, NORTH HOLLYWOOD, CA 91606-1559
(818) 763-0136
(818) 763-3838
Mailing address
6400 LAUREL CANYON BLVD, SUITE # 600, NORTH HOLLYWOOD, CA 91606-1559
(818) 760-0501
(818) 763-3890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1781
CA
225XH1200X
Hand Occupational Therapist
1781
CA
225XP0200X
Pediatric Occupational Therapist
OT1781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1781
CA LICENE
CA
Enumeration date
08/23/2006
Last updated
02/17/2012
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