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1285116657
KIMBERLY D BERGAN
BLOOMINGTON, IN
NPI
1285116657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31001986A)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
KIMBERLY D BERGAN MOT, OTR/L
3607 S HEIRLOOM DR
BLOOMINGTON, IN 47401
Phone number: 812-336-2718
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Mailing Address
KIMBERLY D BERGAN MOT, OTR/L
5599 W REDBUD DR
ELLETTSVILLE, IN 47429
Phone number: 812-320-0098
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