Provider Demographics
NPI:1427472653
Name:HAMM, ERIC JAMES (MS, OTR/L)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JAMES
Last Name:HAMM
Suffix:
Gender:M
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3001 SPRING FOREST ROAD
Mailing Address - Street 2:LEGACY HEALTHCARE SERVICES
Mailing Address - City:RALIEGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616
Mailing Address - Country:US
Mailing Address - Phone:336-776-2300
Mailing Address - Fax:336-776-4900
Practice Address - Street 1:190 MORAVIAN WAY DR.
Practice Address - Street 2:SALEMTOWNE
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-624-0725
Practice Address - Fax:336-776-4900
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7349225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist