Provider Demographics
NPI:1679191332
Name:HAMMEL, SARAH DANIELLE (OT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DANIELLE
Last Name:HAMMEL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:DANIELLE
Other - Last Name:BAUMGARTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:9555 W KIMBALL ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46776-9752
Mailing Address - Country:US
Mailing Address - Phone:260-668-0076
Mailing Address - Fax:
Practice Address - Street 1:7125 HANNA ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46816-1166
Practice Address - Country:US
Practice Address - Phone:260-447-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31006911A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist