Individual
RENEE HAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 628-9249
Mailing address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 628-9249
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5077-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023065356
—
WI
Enumeration date
06/08/2015
Last updated
06/08/2015
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