Individual
MR. BARRY D. M. PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
601 GRIFFIN PL, APT A, FORT COLLINS, CO 80521-1896
(303) 579-0322
Mailing address
601 GRIFFIN PL, APT A, FORT COLLINS, CO 80521-1896
(303) 579-0322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3123
CO
Other
Enumeration date
01/12/2012
Last updated
05/07/2013
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