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NPI Code Detail

MEDICARE: DOLORES HERRMAN OTR

MEDICARE: DOLORES HERRMAN 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
1225X00000XOccupational Therapist2013028550MO
2225X00000XOccupational Therapist17-02922KS
3225X00000XOccupational TherapistOT20424FL
4225X00000XOccupational TherapistOTR2656AR

General Provider Information

NPI Number : 1770910150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOLORES HERRMAN OTR
Provider Business Mailing Address
First Line : 3123 ROCKY BRANCH AVE
Second Line :
City : SPRINGDALE
State : AR
Zip : 72764-5970
Country : US
Telephone Number : 816-935-0051
Fax Number :
Provider Business Practice Location Address
First Line : 650 S DODSON RD
Second Line :
City : ROGERS
State : AR
Zip : 72758-7015
Country : US
Telephone Number : 919-424-5080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2013
Last Update Date : 11/19/2021

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Directions to “ DOLORES HERRMAN OTR” Practice Location

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