Individual
KIM GRACE HERMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
2320 LADYBIRD DR, NEENAH, WI 54956-5697
(920) 574-2257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2321-26
WI
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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