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Individual

ELIJAH HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
1766 NE 209TH WAY, LAWTEY, FL 32058-5250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/06/2018
Last updated
08/06/2018
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