Kelly Louise Bergman

NPI #1922343292 in Swanton, Ohio

Provider Information

NPI Number
1922343292
Entity Type
Individual
Name
Kelly Louise Bergman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Nov 28, 2012
Last Updated
Nov 28, 2012

Practice Location

Address
715 N MAIN ST
State
Ohio
ZIP Code
43558-1042
Phone
(419) 826-0980

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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