Healthcare Provider Details

I. General information

NPI: 1942729256
Provider Name (Legal Business Name): ALICIA HAMMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 09/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 HAMILTON AVE
COLUMBUS OH
43211-2115
US

IV. Provider business mailing address

533 W RIVER DR
GROVE CITY OH
43123-8668
US

V. Phone/Fax

Practice location:
  • Phone: 614-365-5229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT007928
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: