Individual
ALEXIS ANN HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
Mailing address
12414 PARRISH AVE, CEDAR LAKE, IN 46303-8846
(219) 290-9389
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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