BRYAN LEE HERDER

PORTAGE, MI
NPI1316169303
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201005556)
Enumeration Date2007-05-02
Last Update Date2023-10-24
Business Address
-- BRYAN LEE HERDER O.T.
7971 MOORSBRIDGE RD
PORTAGE, MI 49024-4075
Phone number: 269-321-0929
Mailing Address
-- BRYAN LEE HERDER O.T.
7971 MOORSBRIDGE RD
PORTAGE, MI 49024-4075
Phone number: 269-321-0929
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