MEDICARE: JIM HAMMOND THERAPY

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
1	225X00000X	Occupational Therapist	10-6657	FL

General Provider Information

NPI Number	:	1346326451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JIM HAMMOND THERAPY

Provider Business Mailing Address
First Line	:	968 E 25TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3404
Country	:	US
Telephone Number	:	305-696-5732
Fax Number	:	305-696-5342

Provider Business Practice Location Address
First Line	:	968 E 25TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3404
Country	:	US
Telephone Number	:	305-696-5732
Fax Number	:	305-696-5342

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	MRS. CIELO ZAPATA
Credential	:
Telephone Number	:	305-696-5732

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/21/2022

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Directions to “JIM HAMMOND THERAPY ” Practice Location

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