Bert, Jacqueline Theresa

Bert, Jacqueline Theresa is an individual health care provider with primary practice located at 400 Massasoit Ave Ste 300 , East Providence RI 02914-2012. 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. Bert, Jacqueline Theresa can be contacted via phone (401) 490-7610.

Contact Information

Primary practice address
400 Massasoit Ave Ste 300 East Providence RI 02914-2012
Phone: (401) 490-7610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT01893 Rhode Island

Profile Details

NPI number 1730933813
LBN Legal business name Bert, Jacqueline Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2024
Last updated Apr 15th, 2024 - about last year

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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