MEDICARE: SARAH BRYN HAMILTON PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070026375	IL

General Provider Information

NPI Number	:	1548993694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BRYN HAMILTON PT, DPT

Provider Business Mailing Address
First Line	:	2280 SUTTON LN
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60502-9380
Country	:	US
Telephone Number	:	630-870-9497
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W HIGGINS RD STE 370
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-7207
Country	:	US
Telephone Number	:	847-895-2910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	07/06/2022

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