Individual
NICOLE TALIA HAMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
73 JEFFERSON CT, ZION CROSSROADS, VA 22942-9602
(540) 832-9012
(405) 832-9013
Mailing address
PO BOX 412307, BOSTON, MA 02241-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009084
VA
Other
Enumeration date
04/26/2021
Last updated
06/15/2021
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