Individual
JOHN ALEX HERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1603 CHASE RD, LOGANSPORT, IN 46947-1538
(574) 737-7404
Mailing address
1603 CHASE RD, LOGANSPORT, IN 46947-1538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007298A
IN
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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