Provider Demographics
NPI:1326256660
Name:HAMMOND, ELIZABETH ANNE (MS,OTRL)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MS,OTRL
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:FIORILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,OTRL
Mailing Address - Street 1:31 COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-7221
Mailing Address - Country:US
Mailing Address - Phone:856-906-8294
Mailing Address - Fax:
Practice Address - Street 1:2004 OLD ARCH RD
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-2008
Practice Address - Country:US
Practice Address - Phone:610-277-0380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009626225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist