Individual
MANDI HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 PLAZA DR, LUGOFF, SC 29078-9385
(803) 900-4020
(803) 753-9362
Mailing address
2 PLAZA DR, LUGOFF, SC 29078-9385
(803) 900-4020
(803) 753-9362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2438
SC
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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