Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 00001583 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 2009025709 | MO |
NPI | 1043563331 |
---|---|
Provider Name | Ms. Janet Hamill |
First Address | Deer Harbor, WA 98243-0269 |
Second Address | Oak Harbor, WA 98277-5451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2012 |
Last Update Date | 29/07/2020 |