Individual
BLAKE L HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1360 BLAIR DR STE D, ODENTON, MD 21113-1343
(410) 672-8970
Mailing address
1360 BLAIR DR, STE D, ODENTON, MD 21113-1343
(615) 778-4066
(615) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20573
MD
Other
Enumeration date
03/22/2007
Last updated
04/06/2018
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