Individual
MOJCA C HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L, CHT
Contact information
Practice address
1450 S IRENA AVE, REDONDO BEACH, CA 90277-5104
(310) 698-2008
(310) 388-6416
Mailing address
1450 S IRENA AVE, REDONDO BEACH, CA 90277-5104
(424) 218-9959
(310) 388-6416
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
225XE1200X
Ergonomics Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164919
FIRST HEALTH PIN
—
01
—
300819400
DEPT OF LABOR PIN
—
01
—
7507553
AETNA PIN
—
01
—
OT0000170
BLUE SHIELD
—
01
—
P00229468
MEDICARE PIN-PALMETTO GBA
—
Enumeration date
05/10/2007
Last updated
04/08/2020
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