BARRY HERDER

FAYETTEVILLE, AR
NPI1528477643
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A 802)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- BARRY HERDER COTA/L
2728 E KANTZ DR #5
FAYETTEVILLE, AR 72703-3211
Phone number: 785-766-8187
Mailing Address
-- BARRY HERDER COTA/L
2728 E KANTZ DR #5
FAYETTEVILLE, AR 72703-3211
Phone number: 785-766-8187
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