Individual
JACQUELINE THERESA BERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MASSASOIT AVE STE 300, EAST PROVIDENCE, RI 02914-2012
(401) 490-7610
Mailing address
400 MASSASOIT AVE STE 300, EAST PROVIDENCE, RI 02914-2012
(401) 323-8484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01893
RI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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