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Polly Von Bergen

Occupational Therapist in Laguna Hills, CA. Individual provider (NPI-1).

NPI number1497958367
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1497958367
Entity type
Individual (NPI-1)
Name
Polly Von Bergen
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist7256CAYes

Practice location

23271 Verdugo Dr
#b
Laguna Hills, CA 92653-1347

Phone 949-707-5555

Mailing address

4317 Rawhide Way
Oceanside, CA 92057-6508

Phone 760-757-2126

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