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NPI Code Detail

MEDICARE: MS. ALICE G HAMILTON OTR/L

MEDICARE: MS. ALICE G 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
1225X00000XOccupational TherapistOT5373FL

General Provider Information

NPI Number : 1780873638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICE G HAMILTON OTR/L
Provider Business Mailing Address
First Line : 8620 ALAM AVE
Second Line :
City : NORTH PORT
State : FL
Zip : 34287-5444
Country : US
Telephone Number : 941-429-1109
Fax Number :
Provider Business Practice Location Address
First Line : 23013 WESTCHESTER BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-8448
Country : US
Telephone Number : 941-625-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 10/16/2007

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