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Lisa Lyn Herrmann, MS OTR L

Occupational Therapist in Surprise, AZ. Individual provider (NPI-1).

NPI number1114130754
StatusActive
Last updated in NPPESAug 18, 2025

Details

NPI
1114130754
Entity type
Individual (NPI-1)
Name
Mrs. Lisa Lyn Herrmann
Credential
MS OTR L
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2007
Certification date
Aug 18, 2025
Last updated
Aug 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes
224Z00000X Occupational Therapy Assistant––
224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing––
2251P0200X Physical Therapist, Pediatrics––
225200000X Physical Therapy Assistant––
225X00000X Occupational Therapist2762AZ
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing––
225XP0200X Occupational Therapist, Pediatrics––
2355S0801X Specialist/Technologist, Speech-Language Assistant––
235Z00000X Speech-Language Pathologist,––

Practice location

15116 N Cotton Ln
Surprise, AZ 85388-9618

Phone 623-322-8250 · Fax 602-325-8206

Mailing address

1941 E Wescott Dr
Phoenix, AZ 85024-2434

Phone 602-441-5975 · Fax 602-485-8859

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