| NPI | 1033468129 |
|---|---|
| Former Name | SARA ELIZABETH BERGERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1702937) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2012029215) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2021-02-10 |