Bergeron, Jodi

Bergeron, Jodi is an individual health care provider with primary practice located at 195 Collyer St , Providence RI 02904-1869. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bergeron, Jodi can be contacted via phone (401) 793-4083.

Contact Information

Primary practice address
195 Collyer St Providence RI 02904-1869
Phone: (401) 793-4083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00440 Rhode Island

Profile Details

NPI number 1124181292
LBN Legal business name Bergeron, Jodi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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