Individual
AMANDA ELAINE BERGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
42211 N 41ST DR STE 145, ANTHEM, AZ 85086-3812
(602) 808-9912
Mailing address
42211 N 41ST DR STE 145, ANTHEM, AZ 85086-3812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009577
AZ
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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