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NPI Code Detail

MEDICARE: DR. BENJAMIN FREDRICK HAMMETT P.T

MEDICARE: DR. BENJAMIN FREDRICK HAMMETT P.T
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
12251X0800XOrthopedic Physical Therapist7679SC
22251X0800XOrthopedic Physical Therapist26964FL

General Provider Information

NPI Number : 1588057418
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN FREDRICK HAMMETT P.T
Provider Business Mailing Address
First Line : 785 S 2ND ST
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-4903
Country : US
Telephone Number : 850-892-1089
Fax Number :
Provider Business Practice Location Address
First Line : 785 S 2ND ST
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-4903
Country : US
Telephone Number : 850-892-1089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2015
Last Update Date : 03/17/2015

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