Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3180 | AL |
N | 225XE0001X | Environmental Modification | ||
N | 2251E1200X | Ergonomics | ||
N | 225XE1200X | Ergonomics | ||
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 225XH1200X | Occupational Therapist - Hand | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XL0004X | Low Vision | ||
N | 225XM0800X | Mental Health | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
N | 225XR0403X | Driving and Community Mobility |
NPI | 1003254160 |
---|---|
Provider Name | John Herron |
First Address | Mobile, AL 36685-5501 |
Second Address | Mobile, AL 36685-5501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2013 |
Last Update Date | 19/07/2013 |