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

Individual provider Occupational Therapist · NPI 1558565101

Nicole Renee Bergstrom, OTR is an Occupational Therapist in Salisbury, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2009 Northwood Dr
Salisbury, MD 21801-7800
Phone: (410) 603-5884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 04523 (MD)

Record details

NPI number1558565101
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESJuly 8, 2007

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