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NPI Code Detail

MEDICARE: MRS. ANN M HERING OTR

MEDICARE: MRS. ANN M HERING OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist2100-026WI

General Provider Information

NPI Number : 1073533378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN M HERING OTR
Provider Business Mailing Address
First Line : N6270 BRANCH RD
Second Line :
City : PLYMOUTH
State : WI
Zip : 53073-3423
Country : US
Telephone Number : 920-893-6072
Fax Number :
Provider Business Practice Location Address
First Line : 1125 N 13TH ST
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-3281
Country : US
Telephone Number : 920-208-9648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. ANN M HERING OTR” Practice Location

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