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Contact Information

AUDREY R BERGEN, OTRL
5006 COPPER NE
ALBUQUERQUE, NM87108
 Phone: 505-268-7988
 Fax: 505-268-8021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AUDREY R BERGEN · (Female)

NPI # 1285604330
Status Active
Credentials OTRL
Entity Individual
Enumeration date 01/23/2006
Last updated 09/14/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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