Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PTL.0015430 | CO |
N | 2251C2600X | Cardiopulmonary | PTL.0015430 | CO |
N | 2251E1200X | Ergonomics | PTL.0015430 | CO |
N | 225XE1200X | Ergonomics | PTL.0015430 | CO |
N | 2251G0304X | Physical Therapist - Geriatrics | PTL.0015430 | CO |
N | 2251N0400X | Physical Therapist - Neurology | PTL.0015430 | CO |
N | 2251P0200X | Physical Therapist - Pediatrics | PTL.0015430 | CO |
N | 2251S0007X | Physical Therapist - Sports | PTL.0015430 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | PTL.0015430 | CO |
NPI | 1164037263 |
---|---|
Provider Name | Ramon Alexander Hamilton |
First Address | Taos, NM 87571-6437 |
Second Address | Taos, NM 87571-5362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2020 |
Last Update Date | 15/09/2020 |