Healthcare Provider Details

I. General information

NPI: 1699309831
Provider Name (Legal Business Name): ERYN VICTORIA BONDS HERMAN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERYN VICTORIA BONDS

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4404 HUGH HOWELL RD STE 18
TUCKER GA
30084-4916
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 770-493-5543
  • Fax: 770-493-5549
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT007653
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: