Provider Demographics
NPI:1659042091
Name:HAMMON, ESTHER (OTD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:HAMMON
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 N CORAL CANYON BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-2088
Mailing Address - Country:US
Mailing Address - Phone:435-619-2672
Mailing Address - Fax:
Practice Address - Street 1:825 W AIRPORT AVE # 2014
Practice Address - Street 2:
Practice Address - City:COLORADO CITY
Practice Address - State:AZ
Practice Address - Zip Code:86021-6012
Practice Address - Country:US
Practice Address - Phone:435-619-2672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-008601225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist