Individual
MRS. MINDY MARIE HAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
512 BEACH ST, FENTON, MI 48430-3122
(810) 629-4117
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007624
MI
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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