Individual
KAREN HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
428 W PUEBLO ST, BOISE, ID 83702-4429
(208) 761-3325
Mailing address
428 W PUEBLO ST, BOISE, ID 83702-4429
(208) 761-3325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-674
ID
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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