Provider Demographics
NPI:1720259526
Name:HOOD, TAMMY P (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:P
Last Name:HOOD
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 VILLAGE SQUARE DR STE 6
Mailing Address - Street 2:
Mailing Address - City:SOUTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02879-8248
Mailing Address - Country:US
Mailing Address - Phone:401-284-4357
Mailing Address - Fax:
Practice Address - Street 1:55 VILLAGE SQUARE DR STE 6
Practice Address - Street 2:
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879-8248
Practice Address - Country:US
Practice Address - Phone:401-284-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT01154225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI6400144OtherUNITED
2058OtherNHP
RI9009994Medicaid
RI99947OtherBLUE CROSS