Individual
MRS. ERIN KATHRYN BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3348 W MCDOWELL RD, PHOENIX, AZ 85009-2416
(602) 455-6700
(602) 278-1693
Mailing address
2801 N LITCHFIELD RD UNIT 20, GOODYEAR, AZ 85395-2004
(623) 210-6425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5673
ARIZONA STATE BOARD OF OCCUPATIONAL THERAPY EXAMINERS
AZ
Enumeration date
01/22/2014
Last updated
01/22/2014
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