Individual
MR. DERIK ADAM BERNHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
391 2ND AVE, APT 3E, NEW YORK, NY 10010-4618
(212) 920-6077
Mailing address
391 2ND AVE, APT 3E, NEW YORK, NY 10010-4618
(212) 920-6077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013385-1
NY
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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