Provider Demographics
NPI:1528375961
Name:HAMMEL, SUSAN CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CHRISTINE
Last Name:HAMMEL
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 1:66 OLD COLONY AVE
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-8520
Mailing Address - Country:US
Mailing Address - Phone:716-876-5121
Mailing Address - Fax:
Practice Address - Street 1:66 OLD COLONY AVE
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-8520
Practice Address - Country:US
Practice Address - Phone:716-876-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009737-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist