NPI | 1003168881 |
---|---|
Former Name | CALLIE ELIZABETH HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT.008197) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012549) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2014-11-05 |