Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 27669 | MD |
NPI | 1285282293 |
---|---|
Provider Name | Stephanie Hamilton |
First Address | Frederick, MD 21703-7582 |
Second Address | Mount Airy, MD 21771-7525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2019 |
Last Update Date | 03/09/2019 |