Individual
MRS. NOELLE BETH BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
125 N PARKSIDE DR, SUITE 201, COLORADO SPRINGS, CO 80909-6097
(719) 785-3748
(719) 785-3798
Mailing address
125 N PARKSIDE DR, SUITE 201, COLORADO SPRINGS, CO 80909-6097
(719) 785-3748
(719) 785-3798
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1338
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/19/2010
Last updated
02/19/2010
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