Healthcare Provider Details

I. General information

NPI: 1720259526
Provider Name (Legal Business Name): TAMMY P HOOD MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 VILLAGE SQUARE DR STE 6
SOUTH KINGSTOWN RI
02879-8248
US

IV. Provider business mailing address

55 VILLAGE SQUARE DR STE 6
SOUTH KINGSTOWN RI
02879-8248
US

V. Phone/Fax

Practice location:
  • Phone: 401-284-4357
  • Fax:
Mailing address:
  • Phone: 401-284-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT01154
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: