Individual
EMILY BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 EDELLA RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1628
(570) 586-1002
Mailing address
406 HEALY AVE, JENKINTOWN, PA 19046-3221
(215) 208-1833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009533
PA
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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