Individual
SHANE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4603 JOHN GARRY DR STE 16, COLUMBIA, MO 65203-6834
(573) 289-9500
Mailing address
4603 JOHN GARRY DR STE 16, COLUMBIA, MO 65203-6834
(573) 289-9500
Taxonomy
Speciality
Code
Description
License number
State
2251H1300X
Human Factors Physical Therapist
Primary
2015036487
MO
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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