Individual
MR. THOMAS W HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
6641 STRANWOOD DR, ENGLEWOOD, OH 45322-3772
(937) 771-0058
Mailing address
6641 STRANWOOD DR, ENGLEWOOD, OH 45322-3772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02782
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02782
OHIO STATE LICENSE0
OH
Enumeration date
09/02/2010
Last updated
09/02/2010
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