SearchNew Jersey224Z00000X

Ingrid Bergen, COTA

NPI 1811370851 · on the registry since 2015 · sole proprietor

Practice

Address
635 W Wheat Rd
Vineland, NJ 08360
Phone
(856) 692-6673

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey