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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN LEE HERDER, O.T.

Active

BRYAN LEE HERDER, O.T. is a Occupational Therapist healthcare provider located in PORTAGE, Michigan. NPI 1316169303 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PORTAGE, MI

Registration Details

NPI Number
1316169303
Provider Type
Individual
Gender
Male
NPI Issued
May 2, 2007 (19.248022687852 yrs)
Last Updated
Oct 24, 2023
License
5201005556 (MI)

Practice Information

Address
7971 MOORSBRIDGE RD
PORTAGE, MI, 490244075
Browse MI providers · Browse ZIP 49024
Phone
2693210929
Fax
2693211767
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in PORTAGE, MI

Name Credential NPI
MICHAEL FORD OT 1699741983
DENISE L HOFFMAN OTR/L 1033228614
RENU SHARMA OTR 1073649281
NANCY ELLEN KROLIKOWSKI O.T. 1760603427
BARBARA MAURAGIS 1124226550
CRAIG MICHAEL BRADFIELD OT 1215181557
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.