Individual
SUSAN HAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
102 EASTBROOK DR, SUITE C, GREENVILLE, NC 27858-4211
(252) 830-0245
Mailing address
102 EASTBROOK DR, SUITE C, GREENVILLE, NC 27858-4211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4229
NC
Other
Enumeration date
11/25/2007
Last updated
11/25/2007
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