Individual
GWENDOLYN HERMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3539
Mailing address
108 WE GO TRL, FOX LAKE, WI 53933-9620
(920) 928-6436
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4620-026
WI
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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