Individual
MRS. LIANE MILLER HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTRL
Contact information
Practice address
9606 BAILEY RD, SUITE 250, CORNELIUS, NC 28031-6109
(704) 560-2170
(704) 896-7975
Mailing address
5600 SWANSTON DR, CHARLOTTE, NC 28269-9141
(704) 560-2170
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1185V
BLUE CROSS BLUE SHIELD
NC
05
—
7301282
—
NC
Enumeration date
02/23/2007
Last updated
07/08/2007
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