Provider Demographics
NPI:1699858522
Name:HAMMONS, MONICA D (OTR/L)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:D
Last Name:HAMMONS
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 1:30780 HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:MEDON
Mailing Address - State:TN
Mailing Address - Zip Code:38356-8749
Mailing Address - Country:US
Mailing Address - Phone:731-424-4200
Mailing Address - Fax:
Practice Address - Street 1:45 FOREST CV
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-4366
Practice Address - Country:US
Practice Address - Phone:731-424-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2424225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist