Provider Demographics
NPI:1558672451
Name:HAMMOND, MARTA H (OTR)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:H
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 SILVERADA BOULEVARD
Mailing Address - Street 2:ROSEWOOD REHABILITATION CENTER
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2051
Mailing Address - Country:US
Mailing Address - Phone:775-359-3161
Mailing Address - Fax:775-331-2878
Practice Address - Street 1:2045 SILVERADA BOULEVARD
Practice Address - Street 2:ROSEWOOD REHABILITATION CENTER
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2051
Practice Address - Country:US
Practice Address - Phone:775-359-3161
Practice Address - Fax:775-331-2878
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0712225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV 0712OtherOT LICENSE