Provider Demographics
NPI:1477983757
Name:HERMANS, ALLISON MCGOWAN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MCGOWAN
Last Name:HERMANS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5617 MOUNTAINEER LN
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-9231
Mailing Address - Country:US
Mailing Address - Phone:704-787-4541
Mailing Address - Fax:
Practice Address - Street 1:5617 MOUNTAINEER LN
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-9231
Practice Address - Country:US
Practice Address - Phone:704-787-4541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant