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NPI Code Detail

MEDICARE: DORIS ANNEMARIE HERBIG OTR/L

MEDICARE: DORIS ANNEMARIE HERBIG OTR/L
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
1225X00000XOccupational TherapistOT02980GA
2225X00000XOccupational Therapist3640TN

General Provider Information

NPI Number : 1316960511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS ANNEMARIE HERBIG OTR/L
Provider Business Mailing Address
First Line : 1061 HARMON AVE
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-6965
Fax Number :
Provider Business Practice Location Address
First Line : 1061 HARMON AVE
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-6965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 05/11/2026

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