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Individual

TERRY LEE HAMMETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
40540 CHAPARRAL DR, TEMECULA, CA 92592-8950
(951) 302-9455
Mailing address
40540 CHAPARRAL DR, TEMECULA, CA 92592-8950
(951) 302-9455

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT2103
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0208283
WA DEPT OF LABOR
WA
01
ZZZ04832Z
MEDICARE PTAN
CA
Enumeration date
04/05/2006
Last updated
10/23/2009
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