Provider Demographics
NPI:1245404672
Name:HAMMOND, JULIE (DPT)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:78 E CENTRAL AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9779
Mailing Address - Country:US
Mailing Address - Phone:530-283-2202
Mailing Address - Fax:530-283-2204
Practice Address - Street 1:78 E CENTRAL AVE STE 2
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9779
Practice Address - Country:US
Practice Address - Phone:530-283-2202
Practice Address - Fax:530-283-2204
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2062715225200000X
CA294227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant