MEDICARE: MS. LINDSEY DIANE HAMILTON OTR/L

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	225X00000X	Occupational Therapist	OT 16107	CA
2	225X00000X	Occupational Therapist	5752	SC

General Provider Information

NPI Number	:	1578925939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDSEY DIANE HAMILTON OTR/L

Provider Business Mailing Address
First Line	:	19 REGIS CT
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-5356
Country	:	US
Telephone Number	:	843-214-2431
Fax Number	:	854-258-5112

Provider Business Practice Location Address
First Line	:	19 REGIS CT
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-5356
Country	:	US
Telephone Number	:	843-214-2431
Fax Number	:	854-258-5112

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	01/20/2026

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