Individual
MRS. HEATHER MARIE HERMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1555 DOUSMAN ST, GREEN BAY, WI 54303-3207
(920) 494-4525
Mailing address
3020 BUYARSKI RD, GREEN BAY, WI 54311-9454
(920) 362-1706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1156-19
WI
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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