Provider Demographics
NPI:1083224059
Name:HAMRICK, DONALD CODY (MS, OTR/L)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:CODY
Last Name:HAMRICK
Suffix:
Gender:M
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LAGER LN
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4398
Mailing Address - Country:US
Mailing Address - Phone:828-413-9421
Mailing Address - Fax:
Practice Address - Street 1:101 LAGER LN
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4398
Practice Address - Country:US
Practice Address - Phone:828-413-9421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10220225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist