Individual
COURTNEY L HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006901A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528269
ANTHEM PROVIDER NUMBER / GROUP ARNETT CLINIC, LLC
IN
01
—
000000531093
ANTHEM PROVIDER NUMBER
IN
05
—
200362500
—
IN
01
—
9397829
PHCS PID NUMBER
IN
Enumeration date
03/21/2006
Last updated
02/11/2010
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