Most Relevant Information
Provider Data
| NPI Number: | 1003671439 |
| Provider Name: | ALEXIS ANN HERRON OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/15/2024 |
| Last Updated: | 02/15/2024 |
Provider Practice Location
17800 KEDZIE AVE
HAZEL CREST
IL
604292029
Practice Location Phone/Fax
| Phone: | 7087998000 |
| Fax: |
Provider Mailing Location
12414 PARRISH AVE
CEDAR LAKE
IN
463038846
Provider Mailing Phone/Fax
| Phone: | 2192909389 |
| Fax: |