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Individual

MS. ALICIA KATHERINE DRAKE HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
261 RUCCIO WAY, LEXINGTON, KY 40503-3662
(502) 633-1007
(502) 805-1511
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 805-1511

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131378
KY
225XP0200X
Pediatric Occupational Therapist
131378
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100287410
KY
Enumeration date
11/04/2008
Last updated
05/09/2023
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