Jessica Bergen

NPI #1396113825 in Bath, Maine

Provider Information

NPI Number: 1396113825
Entity Type: Individual
Name: Jessica Bergen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 15, 2015
Last Updated: Sep 15, 2015

Practice Location

Address: 51 WINSHIP ST
City: Bath
State: Maine
ZIP Code: 04530
Phone: (207) 443-9772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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