Individual ProviderGwendolyn HermesOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address199 Home Rd, Juneau, WI 53039-1401(920) 386-3539(920) 928-6436PECOS EnrollmentBased on the most recent information from CMS, provider Gwendolyn Hermes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:57 PM.Profile DetailsProvider ID1487809182Provider TypeIndividualFull NameHermes, GwendolynGenderFemaleSole ProprietorNoEnumeration Date11/21/2008Last Updated11/21/2008Contact InformationPractice LocationPractice Address199 Home Rd, Juneau, WI 53039-1401Phone(920) 386-3539FaxUnlisted FaxMailing LocationMailing Address108 We Go Trl, Fox Lake, WI 53933-9620Phone(920) 928-6436FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4620-026Wisconsin