Provider Demographics
NPI:1427266865
Name:HAMMECKER, CINDY LYNN (OTR)
Entity type:Individual
Prefix:MISS
First Name:CINDY
Middle Name:LYNN
Last Name:HAMMECKER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 GULF RD
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:NY
Mailing Address - Zip Code:13625-3190
Mailing Address - Country:US
Mailing Address - Phone:315-262-2564
Mailing Address - Fax:
Practice Address - Street 1:59 MAIN ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-2148
Practice Address - Country:US
Practice Address - Phone:315-261-5461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009267-1225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation