Individual ProviderAmy HermesOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2205 E 70th St, Suite 102, Shreveport, LA 71105-5308(318) 795-3388PECOS EnrollmentBased on the most recent information from CMS, provider Amy 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 yesterday at 12:57 PM.Profile DetailsProvider ID1528284254Provider TypeIndividualFull NameHermes, AmyCredentialLOTRGenderFemaleSole ProprietorNoEnumeration Date4/18/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2205 E 70th St, Suite 102, Shreveport, LA 71105-5308Phone(318) 795-3388Fax(318) 795-3399Mailing LocationMailing Address250 Preston Ave, Shreveport, LA 71105-3308PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOTT.Z12057Louisiana