Individual
CHASTEN L HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3660 GUION RD STE 100, INDIANAPOLIS, IN 46222-1691
(317) 329-7017
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015671A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104414792
ANTHEM PTAN
IN
05
—
300096435
—
IN
Enumeration date
08/08/2024
Last updated
10/14/2024
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