Active NPIIndividual providerSole proprietor

Mrs. Ingrid R Bergen, COTA

Occupational Therapy Assistant in Vineland, New Jersey

NPI Number1811370851
Practice location
635 W Wheat RD, Vineland, NJ 08360-1973
Fax
—
Last updated
July 8, 2015

Ingrid Rose Bergen is an Occupational Therapy Assistant based in Vineland, NJ. Ingrid Rose Bergen practices in Vineland, NJ and has the professional credentials of COTA. The NPI Number for Ingrid Rose Bergen is 1811370851 and holds a License No. 46TA09024500 (NJ). The current practice location address for Ingrid Rose Bergen is 635 W Wheat RD, Vineland, NJ 08360-1973 and can be reached out via phone at 856-692-6673.

Provider Profile Details

NPI Number
1811370851
Provider Name
Ingrid Rose Bergen
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
635 W Wheat RD, Vineland, NJ 08360-1973
Phone Number
856-692-6673
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2015
Last Update Date
July 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
635 W Wheat RD
Vineland, NJ 08360-1973
Zip
08360-1973
Phone Number
856-692-6673
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
635 W Wheat RD
Vineland, NJ 08360-1973
City
Vineland
State
NJ
Zip
08360-1973
Phone Number
856-692-6673

License Information

License Number
46TA09024500
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Ingrid R Bergen, COTA?

The NPI number of Mrs. Ingrid R Bergen, COTA is 1811370851. It was assigned on July 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ingrid R Bergen, COTA?

Mrs. Ingrid R Bergen, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09024500.

Where does Mrs. Ingrid R Bergen, COTA practice?

The practice location is 635 W Wheat RD, Vineland, NJ 08360-1973. The office can be reached at 856-692-6673 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811370851 directly on the NPPES registry website.

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