Hammond, Regenia Jackson

Hammond, Regenia Jackson is an sole proprietor health care provider with primary practice located at 4800 Memorial Dr , Waco TX 76711-1329. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hammond, Regenia Jackson can be contacted via phone (254) 297-3528.

Contact Information

Primary practice address
4800 Memorial Dr Waco TX 76711-1329
Phone: (254) 297-3528
Fax: (254) 297-5387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 100640 Texas

Profile Details

NPI number 1265545479
LBN Legal business name Hammond, Regenia Jackson
Credentials MPH, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265545479 NPPES
Texas Other 100640 STATE OT LISCNESURE#

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