| NPI | 1407847866 |
|---|---|
| Former Name | JENNIFER BERGERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20885) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT1054) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-12-22 |