Individual
JEAN M HAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MA, OCS,ATC
Contact information
Practice address
999 44TH ST, SUITE 10,000, MARION, IA 52302-3846
(319) 373-7311
(319) 373-7313
Mailing address
999 44TH ST, SUITE 10,000, MARION, IA 52302-3846
(319) 373-7311
(319) 373-7313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00878
IA
225100000X
Physical Therapist
878
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143966
—
IA
01
—
54255
WELLMARK BLUE CROSS/BLUE
IA
Enumeration date
08/31/2006
Last updated
04/30/2013
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