Provider Demographics
NPI:1134375827
Name:HERRON, HOPE L (OT)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:L
Last Name:HERRON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 CENTER DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-7733
Mailing Address - Country:US
Mailing Address - Phone:253-964-1559
Mailing Address - Fax:253-964-8495
Practice Address - Street 1:1175 CENTER DR
Practice Address - Street 2:SUITE 160
Practice Address - City:DUPONT
Practice Address - State:WA
Practice Address - Zip Code:98327-7733
Practice Address - Country:US
Practice Address - Phone:253-964-1559
Practice Address - Fax:253-964-8495
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001512225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist