Individual
MRS. MARY CARLEEN HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
824 E EUCLID AVE, SUITE 202, LEXINGTON, KY 40502-1785
(859) 335-1100
(859) 335-1106
Mailing address
824 E EUCLID AVE, SUITE 202, LEXINGTON, KY 40502-1785
(859) 335-1100
(859) 335-1106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5007
KY
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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