| Heather Bergensten, | |
|
1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | |
| (570) 698-5647 | |
| Not Available |
| Full Name | Heather Bergensten |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1404 Golf Park Dr, Lake Ariel, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619385242 | NPI | - | NPPES |
| 102602636-0001 | Medicaid | PA | |
| 101802 | Other | PA | FACILITY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OC010514 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Bergensten, 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 Ph: () - | Heather Bergensten, 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 Ph: (570) 698-5647 |
Access Design Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Gravity Rd, Lake Ariel, PA 18436 Phone: 570-647-8445 | |
Jennifer A Barillo, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 590 Gravity Road, Lake Ariel, PA 18436 Phone: 570-647-8445 Fax: 570-647-8445 |