Organization
HAMILTON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHN MARK HAMILTON PT (PT/OWNER)
(304) 538-7971
Entity
Organization
Contact information
Practice address
739 N MAIN ST, MOOREFIELD, WV 26836-1020
(304) 538-7971
(304) 538-6303
Mailing address
739 N MAIN ST, MOOREFIELD, WV 26836-1020
(304) 538-7971
(304) 538-6303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157850000
—
WV
01
—
650023946
RAILROAD MEDICARE
WV
Enumeration date
09/15/2011
Last updated
09/15/2011
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