Individual
MR. ANTONIUS DEWAYNE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
403 34TH AVE E, TUSCALOOSA, AL 35404-3327
(205) 368-8116
(205) 553-2673
Mailing address
217 4TH AVE S, BIRMINGHAM, AL 35205-3231
(205) 368-8116
(205) 553-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2996
AL
227800000X
Certified Respiratory Therapist
1034
AL
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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