Individual
ASHLEY L HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4615 E WALL ST, FORT WAYNE, IN 46816-9775
(260) 615-1817
Mailing address
4615 E WALL ST, FORT WAYNE, IN 46816-9775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001649A
IN
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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