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1215208855
BARRY D. M. PEDERSON
FORT COLLINS, CO
NPI
1215208855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO 3123)
Enumeration Date
2012-01-12
Last Update Date
2013-05-07
Business Address
Mr. BARRY D. M. PEDERSON OTR
601 GRIFFIN PL APT A
FORT COLLINS, CO 80521-1896
Phone number: 303-579-0322
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Mailing Address
Mr. BARRY D. M. PEDERSON OTR
601 GRIFFIN PL APT A
FORT COLLINS, CO 80521-1896
Phone number: 303-579-0322
Copy
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