Provider Demographics
NPI:1922272186
Name:HEWETT, THOMAS DANIEL (OTA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:DANIEL
Last Name:HEWETT
Suffix:
Gender:M
Credentials:OTA
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Other - Credentials:
Mailing Address - Street 1:300 W HOSPITAL RD
Mailing Address - Street 2:BUILDING 300 ROOM 1I-19 OCCUPATIONAL THERAPY CLINIC
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5741
Mailing Address - Country:US
Mailing Address - Phone:706-787-7448
Mailing Address - Fax:706-787-1047
Practice Address - Street 1:300 W HOSPITAL RD
Practice Address - Street 2:BUILDING 300 ROOM 1I-19 OCCUPATIONAL THERAPY CLINIC
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5741
Practice Address - Country:US
Practice Address - Phone:706-787-7448
Practice Address - Fax:706-787-1047
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant