Individual
BARRY PHILIP BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2800 HIGHWAY TT, SEDALIA, MO 65301-1410
(660) 826-5600
Mailing address
2800 HIGHWAY TT, SEDALIA, MO 65301-1410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001207
MO
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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