Individual
ANDREA HERMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2131 S BUSINESS DR, SHEBOYGAN, WI 53081-5656
(920) 803-1617
(920) 803-1622
Mailing address
2131 S BUSINESS DR, SHEBOYGAN, WI 53081-5656
(920) 803-1617
(920) 803-1622
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4571
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41813000
—
WI
Enumeration date
06/29/2020
Last updated
06/29/2020
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