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Individual
MS. REGENIA JACKSON HAMMOND
Active
Individual
MS. REGENIA JACKSON HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100640
STATE OT LISCNESURE#
TX
Enumeration date
08/15/2006
Last updated
07/08/2007
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