National Provider Identifier

Randi Bergman

Randi Bergman is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 816-4748.

NPI 1073882403Buffalo, NYOccupational Therapist

Profile Overview

NPI
1073882403
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
December 13, 2011
Last Updated
December 13, 2011

Practice Location

  • 33 Ash St
  • School 12 Related Services
  • Buffalo, NY 14204-1445

Phone: (716) 816-4748

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1073882403
Entity Type
Individual
Last Name
Bergman
First Name
Randi
Name Prefix
MS.
Mailing Street Address
33 Ash St
Mailing Address Line 2
School 12 Related Services
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14204-1445
Mailing Country
US
Practice Street Address
33 Ash St
Practice Address Line 2
School 12 Related Services
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14204-1445
Practice Country
US
Practice Phone
(716) 816-4748
Enumeration Date
December 13, 2011
Last Updated
December 13, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)