Individual ProviderHannah Joyce HershbergerOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address525 W River Woods Pkwy Ste 230, Glendale, WI 53212-1010(414) 453-7418PECOS EnrollmentBased on the most recent information from CMS, provider Hannah Joyce Hershberger 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 ID1700447208Provider TypeIndividualFull NameHershberger, Hannah JoyceTitleMrs.CredentialOTRGenderFemaleSole ProprietorNoEnumeration Date6/25/2019Last Updated6/25/2019Contact InformationPractice LocationPractice Address525 W River Woods Pkwy Ste 230, Glendale, WI 53212-1010Phone(414) 453-7418Fax(414) 967-1151Mailing LocationMailing Address525 W River Woods Pkwy Ste 230, Glendale, WI 53212-1010Phone(414) 453-7418Fax(414) 967-1151Provider TaxonomiesCodeDescriptionLicenseCode225XH1200XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6199-26WisconsinProvider IdentifiersIDDescriptionIssuerID6199-26DescriptionOtherIssuerSTATE OF WISCONSINWisconsin