Individual
MRS. VICKI RENEE HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C., P.T.A
Contact information
Practice address
300 S HARBOR BLVD, SUITE 710, ANAHEIM, CA 92805-3733
(800) 561-5207
Mailing address
6603 MICHELSON ST, LAKEWOOD, CA 90713-1755
(562) 925-8685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT-6149
CA
2255A2300X
Athletic Trainer
029602579
CA
Other
Enumeration date
11/15/2008
Last updated
11/15/2008
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