Bergman, Andrea C

Bergman, Andrea C is an individual health care provider with primary practice located at 193 Sam Lisenby Rd , Ozark AL 36360-3048. 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. Bergman, Andrea C can be contacted via phone (334) 445-6336.

Contact Information

Primary practice address
193 Sam Lisenby Rd Ozark AL 36360-3048
Phone: (334) 445-6336
Fax: (334) 445-6363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2624 Alabama

Profile Details

NPI number 1578730768
LBN Legal business name Bergman, Andrea C
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated Apr 27th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578730768 NPPES
Alabama MEDICAID 102420

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