Berg, Lucretia Ann

Berg, Lucretia Ann is an individual health care provider with primary practice located at 12310 138Th Ave E , Puyallup WA 98374-4539. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Berg, Lucretia Ann can be contacted via phone (253) 973-1181.

Contact Information

Primary practice address
12310 138Th Ave E Puyallup WA 98374-4539
Phone: (253) 973-1181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00000852 Washington

Profile Details

NPI number 1871559997
LBN Legal business name Berg, Lucretia Ann
Credentials MSOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871559997 NPPES
Washington MEDICAID 7682495
Washington Other 11216858
Washington Other 7746376
Washington Other BA8965

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