Most Relevant Information
Provider Data
| NPI Number: | 1003230822 |
| Provider Name: | SUE KHAMMAR OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 111618 |
Most Important Dates
| Enumeration Date: | 02/13/2014 |
| Last Updated: | 02/13/2014 |
Provider Practice Location
4140 TAMWORTH RD
FORT WORTH
TX
761168122
Practice Location Phone/Fax
| Phone: | 8173865500 |
| Fax: | 8173865500 |
Provider Mailing Location
4140 TAMWORTH RD
FORT WORTH
TX
761168122
Provider Mailing Phone/Fax
| Phone: | 8173865500 |
| Fax: | 8173865500 |