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Individual

MR. JASON GEORGE BERTRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
17 CHIPMAN WAY, KINGSTON, MA 02364-1039
(781) 336-5107
Mailing address
27 CHAMPLAIN ROAD, P.O. BOX 220, STILLWATER, NY 12170
(203) 619-2691

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8212
MA

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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