Individual
JOHN HERSHBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
316 S WOODWARD ST, LAPEL, IN 46051-5567
(765) 278-3643
Mailing address
316 S WOODWARD ST, LAPEL, IN 46051-5567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002088A
IN
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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