Provider Demographics
NPI:1225406630
Name:HAMMOND, REBECCA (RTT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:RTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 LOVEJOY RD
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:NH
Mailing Address - Zip Code:03307-0905
Mailing Address - Country:US
Mailing Address - Phone:603-387-4536
Mailing Address - Fax:
Practice Address - Street 1:119 LOVEJOY RD
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:NH
Practice Address - Zip Code:03307-0905
Practice Address - Country:US
Practice Address - Phone:603-387-4536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4127782471R0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy