Provider Demographics
NPI:1437509171
Name:HERMAN, ALLISON EK (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:EK
Last Name:HERMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:IA
Mailing Address - Zip Code:50220-2221
Mailing Address - Country:US
Mailing Address - Phone:515-465-7672
Mailing Address - Fax:515-465-7655
Practice Address - Street 1:1231 S G AVE
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-2717
Practice Address - Country:US
Practice Address - Phone:515-382-3366
Practice Address - Fax:515-382-1576
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist