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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE BERGSTROM

Active Sole Proprietor

STEPHANIE BERGSTROM is a Occupational Therapist healthcare provider located in COLD BROOK, New York. NPI 1356051254 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COLD BROOK, NY

Registration Details

NPI Number
1356051254
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2022 (3.7196589365638 yrs)
Last Updated
Dec 1, 2022
License
010602 (NY)
Sole Proprietor
Yes

Practice Information

Address
164 ATWOOD LAKE RD
COLD BROOK, NY, 133243015
Browse NY providers · Browse ZIP 13324
Phone
3157174800
Primary Specialty
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.