Individual
MR. MITCHELL C. HAMRIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
8097 MADISON BLVD, #102, MADISON, AL 35758-2044
(256) 461-7173
(256) 461-7175
Mailing address
8097 MADISON BLVD, #102, MADISON, AL 35758-2044
(256) 461-7173
(256) 461-7175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH764
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51072058
BLUE CROSS-COMPLETE P.T.
AL
01
—
51520412
BLUE CROSS-ACTIVE P.T.
AL
Enumeration date
12/11/2006
Last updated
06/20/2011
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