Tiffany Berth
Individual provider Active NPI Occupational Therapist · Oconto, WI
NPI 1679679641 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679679641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2754-26
- Practice address
- 501 Park Ave
Oconto, WI 54153-1612 - Phone
- (920) 834-6875
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2754-26 | Yes |
Addresses
Primary practice location
501 Park Ave
Oconto, WI 54153-1612
Mailing address
N2059 Bonnie LN
Marinette, WI 54143-9469
Other providers in Oconto, WI
- Bellin Health Oconto Clinic
- Bellin Memorial Hospital Inc
- Bellin Psychiatric Center Inc
- Denise Lynn Belongia
- Benzer Wi 1 LLC
- Jacob Norbert Bloch
- Ashley Boldt
- Nadine B Bond
- Anna Elizabeth Bourassa
- Michael Jon Brenner
All providers in Oconto, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.