Provider Demographics
NPI:1740704485
Name:HAMELERS, MARIA-JOHANNA (OTR/L)
Entity type:Individual
Prefix:
First Name:MARIA-JOHANNA
Middle Name:
Last Name:HAMELERS
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 1:96 CHATHAM ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-2315
Mailing Address - Country:US
Mailing Address - Phone:781-599-1866
Mailing Address - Fax:781-599-1866
Practice Address - Street 1:96 CHATHAM ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-2315
Practice Address - Country:US
Practice Address - Phone:781-599-1866
Practice Address - Fax:781-599-1866
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8884225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist