Provider Demographics
NPI:1841325784
Name:HERMAN, HOLLIS (MS, PT OCS)
Entity type:Individual
Prefix:MS
First Name:HOLLIS
Middle Name:
Last Name:HERMAN
Suffix:
Gender:F
Credentials:MS, PT OCS
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Mailing Address - Street 1:675 MASSACHUSETTS AVE
Mailing Address - Street 2:9TH FLOOR HOLLIS HERMAN HEALTHYWOMEN
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3309
Mailing Address - Country:US
Mailing Address - Phone:617-576-3204
Mailing Address - Fax:617-497-1565
Practice Address - Street 1:675 MASSACHUSETTS AVE
Practice Address - Street 2:9TH FLOOR HOLLIS HERMAN HEALTHYWOMEN
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3309
Practice Address - Country:US
Practice Address - Phone:617-576-3204
Practice Address - Fax:617-497-1565
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA3043225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist