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1467606343
STACIE PORTER BERCK
BIRMINGHAM, AL
NPI
1467606343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AL 2465)
Enumeration Date
2008-11-05
Last Update Date
2008-11-05
Business Address
Mrs. STACIE PORTER BERCK MS, OTR/L
3057 LORNA RD
BIRMINGHAM, AL 35216-4514
Phone number: 205-978-9939
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Mailing Address
Mrs. STACIE PORTER BERCK MS, OTR/L
1326 NARROWS POINT BND
BIRMINGHAM, AL 35242-8676
Phone number: 205-980-0393
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