Bryan Lee Herder in Portage - Occupational Therapist
Bryan Lee Herder - NPI 1316169303
Bryan Lee Herder is a Occupational Therapist in Portage, Michigan. Bryan Lee Herder practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Bryan Lee Herder is 1316169303. The last update date is 2023-10-24.
Bryan Lee Herder's current location address is 7971 Moorsbridge Rd, Portage, Michigan. You can contact this provider via phone number 2693210929 and fax number 2693211767. The mailing address for Bryan Lee Herder is 7971 Moorsbridge Rd, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Lee Herder |
|---|---|
| Address | 7971 Moorsbridge Rd, Portage, Michigan |
| Phone Number | 2693210929 |
| Fax Number | 2693211767 |
| Sole Proprietor | N |
| Credentials | O.T. |
NPI Number Detail
| NPI Number | 1316169303 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2023-10-24 |
Provider Mailing Address Detail
| Address | 7971 Moorsbridge Rd |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490244075 |
| Phone Number | 2693210929 |
| Fax Number | 2693211767 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 5201005556 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the Bryan Lee Herder's unique identification number?
The Bryan Lee Herder has been assigned the NPI (National Provider Identifier) Number 1316169303 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Bryan Lee Herder?
The Bryan Lee Herder is situated at 7971 Moorsbridge Rd, in the city of Portage, state of MI, with the zip code 490244075.
What is Bryan Lee Herder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bryan Lee Herder is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316169303 to Bryan Lee Herder?
The Centers for Medicare & Medicaid Services assigned the 1316169303 to Bryan Lee Herder on 2007-05-02.
When was the information pertaining to Bryan Lee Herder most recently updated or revised?
The details related to Bryan Lee Herder, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-24.