Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Beth Bergin

Individual provider Pediatric Occupational Therapist · NPI 1629603550

Lisa Beth Bergin is a Pediatric Occupational Therapist in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

1441 S Lindsay Rd Apt 1042
Mesa, AZ 85204-6288
Phone: (860) 478-4533
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Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 6495 (AZ)

Record details

NPI number1629603550
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address1441 S Lindsay Rd Apt 1042, Mesa, AZ 85204-6288

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