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General NPI Number Information
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NPI Number | 1114130754
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Entity Type | Individual
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Provider Name | LISA LYN HERRMANN MS OTR L
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 15116 N COTTON LN
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City | SURPRISE
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State | AZ
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Zip | 85388-9618
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Country | US
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Telephone | 623-322-8250
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Fax | 602-325-8206
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Provider Business Mailing Address
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Address Line | 1941 E WESCOTT DR
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City | PHOENIX
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State | AZ
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Zip | 85024-2434
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Country | US
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Telephone | 602-441-5975
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Fax | 602-485-8859
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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License Number |
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2762
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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