| Kim Grace Hermans, OTR | |
|
130 2nd St, Neenah, WI 54956-2883 | |
| (920) 729-3100 | |
| Not Available |
| Full Name | Kim Grace Hermans |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 130 2nd St, Neenah, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669627220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2321-26 (Wisconsin) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Grace Hermans, OTR 2320 Ladybird Dr, Neenah, WI 54956-5697 Ph: (920) 574-2257 | Kim Grace Hermans, OTR 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 729-3100 |
Sharon Rose Duchateau, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Allison A Hoelzel, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2616 Fax: 920-720-7350 | |
Allison Salm, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 125 Byrd Avenue, Neenah, WI 54956 Phone: 920-725-7869 | |
Teri Hable, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 | |
William Rodney Degoey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2145 Fax: 920-729-2906 | |
Mary K Sahr, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 Hewitt St, Neenah, WI 54956 Phone: 920-277-2374 | |
Danielle Spranger, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2616 |