Provider Demographics
NPI:1649232547
Name:HAMMETT, TERRY LEE (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:LEE
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40540 CHAPARRAL DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-8950
Mailing Address - Country:US
Mailing Address - Phone:951-302-9455
Mailing Address - Fax:
Practice Address - Street 1:40540 CHAPARRAL DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-8950
Practice Address - Country:US
Practice Address - Phone:951-302-9455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT2103225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0208283OtherWA DEPT OF LABOR
CAZZZ04832ZOtherMEDICARE PTAN