Bridget Mary Hormberg
Occupational Therapist - Pediatrics
567 N And South Rd Apt C
Saint Louis
, Missouri 63130-3939
Bridget Mary Hormberg
Occupational Therapist - Pediatrics
567 N And South Rd Apt C
Saint Louis
, Missouri 63130-3939
(314) 650-9288
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Bridget Mary Hormberg
- 567 N And South Rd Apt C
- Saint Louis, MO
- Zip : 63130-3939
- Phone : (314) 650-9288
Second Address
- Bridget Mary Hormberg
- 567 N And South Rd Apt C
- Saint Louis, MO
- Zip : 63130-3939
- Phone : (314) 650-9288
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 2014027319 | MO |
National Provider Identifier
| NPI | 1063816320 |
|---|---|
| Provider Name | Bridget Mary Hormberg |
| First Address | Saint Louis, MO 63130-3939 |
| Second Address | Saint Louis, MO 63130-3939 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2014 |
| Last Update Date | 09/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.