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Individual

COURTNEY L HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2601 FERRY ST, LAFAYETTE, IN 47904-3061
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000

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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