MEDICARE: ALEXANDRA HERMES 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
1	225X00000X	Occupational Therapist	31008107A	IN

General Provider Information

NPI Number	:	1922882497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA HERMES OTR

Provider Business Mailing Address
First Line	:	1502 MURPHYS LANDING DR APT 102
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-3383
Country	:	US
Telephone Number	:	859-630-3690
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 MURPHYS LANDING DR APT 102
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-3383
Country	:	US
Telephone Number	:	859-630-3690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	08/24/2023

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Directions to “ ALEXANDRA HERMES OTR” Practice Location

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