Individual
SHANNON T HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
830 E 8TH ST, FLINT, MI 48503-2779
(810) 423-2258
Mailing address
830 E 8TH ST, FLINT, MI 48503-2779
(810) 423-2258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2091970
TX
225200000X
Physical Therapy Assistant
Primary
5502002994
MI
Other
Enumeration date
10/12/2012
Last updated
10/17/2012
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