| NPI | 1104953009 |
|---|---|
| Professional Name | NELLY T BEREAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 003757) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 003757) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |