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NPI Code Detail

MEDICARE: MS. ROSALYN J. HAMMAN

MEDICARE: MS. ROSALYN J. HAMMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1225399611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROSALYN J. HAMMAN
Provider Business Mailing Address
First Line : 1430 E 4500 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-4208
Country : US
Telephone Number : 801-673-2615
Fax Number :
Provider Business Practice Location Address
First Line : 1430 E 4500 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-4208
Country : US
Telephone Number : 801-673-2615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2012
Last Update Date : 06/03/2012

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