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Contact Information

LISA M HERBERT, OTR
4100 S RIVER RD
EAST CHINA, MI48054-2909
 Phone: 810-329-5385
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for LISA M HERBERT · (Female)

NPI Number 1912461229
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 01/31/2019
Last updated 01/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 52010022914
  • MI License # 5201002914
  • MI Medicaid 1619941333
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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