Individual
MR. REGINALD VERNARD HAMILTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 BAZEBERRY RD, CORDOVA, TN 38018-7754
(901) 758-0036
Mailing address
4148 CALLIE POWELL CV, BARTLETT, TN 38135-1645
(901) 859-4486
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1225
TN
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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