Individual
JORDAN ANN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1312 W ARCH HAVEN AVE BLDG 1320, STE E, BLOOMINGTON, IN 47403-2089
(812) 336-8406
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011340A
IN
225100000X
Physical Therapist
070.020317
IL
225100000X
Physical Therapist
10500
AZ
Other
Enumeration date
10/15/2013
Last updated
05/02/2014
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