Individual
HEATHER HAMTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23415 THREE NOTCH RD STE 2026, CALIFORNIA, MD 20619-4021
(240) 530-8188
Mailing address
23225 SHADY MILE DR, CALIFORNIA, MD 20619-4216
(402) 639-3394
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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