Individual
KIMBERLY JEAN BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7100
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4536-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227662
OTR NBCOT CERTIFICATION
—
Enumeration date
08/21/2007
Last updated
08/21/2007
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