Individual
ALYSSA GRACE HERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
131 SAUNDERSVILLE RD STE 160, HENDERSONVILLE, TN 37075-8940
(615) 488-8499
Mailing address
2510 RIVERCHASE BLVD, MADISON, TN 37115-2061
(973) 970-0564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6401
TN
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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