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Miranda Hermes, PTA
NPI 1619365681 · on the registry since 2014
Practice
- Address
- 2305 San Luis Place
Green Bay, WI 54304 - Phone
- (920) 494-2817
- Fax
- (920) 494-2855
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin