Provider Demographics
NPI:1467723429
Name:HAMMONDS, DANA LEANN (COTA/L)
Entity Type:Individual
Prefix:MISS
First Name:DANA
Middle Name:LEANN
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 S LAMAR ST
Mailing Address - Street 2:#631
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-1871
Mailing Address - Country:US
Mailing Address - Phone:918-852-7335
Mailing Address - Fax:
Practice Address - Street 1:2101 W NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2650
Practice Address - Country:US
Practice Address - Phone:469-420-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211484224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant