Individual
MRS. SUSAN L BERBERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
570 N ROCKY RIVER DR, BEREA, OH 44017-1613
(440) 243-2122
Mailing address
641 HADCOCK RD, BRUNSWICK, OH 44212-2129
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA.04782
OH
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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