Individual
KARIE MANGIARDI-HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3160 STILLWATER DR, PRESCOTT, AZ 86305-7151
(928) 776-4349
Mailing address
3160 STILLWATER DR, PRESCOTT, AZ 86305-7151
(928) 776-4349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5816
AZ
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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