Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT009689 | OH |
NPI | 1053947200 |
---|---|
Provider Name | Justin David Hammer |
First Address | Marysville, OH 43040-7115 |
Second Address | Marysville, OH 43040-7115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2020 |
Last Update Date | 19/03/2020 |