Provider Demographics
NPI:1083884530
Name:HAMMOND, ALICIA LEIGH (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:LEIGH
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 WASHINGTON ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-4518
Mailing Address - Country:US
Mailing Address - Phone:978-521-0635
Mailing Address - Fax:
Practice Address - Street 1:528 WASHINGTON ST
Practice Address - Street 2:APT. 2
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-4518
Practice Address - Country:US
Practice Address - Phone:978-521-0635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1872225X00000X
MA8087225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist