Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 009267-1 | NY |
NPI | 1427266865 |
---|---|
Provider Name | Miss Cindy Lynn Hammecker |
First Address | Colton, NY 13625-3190 |
Second Address | Potsdam, NY 13676-2148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |