Provider Demographics
NPI:1043563331
Name:HAMILL, JANET (MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:HAMILL
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:DEER HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98243-0269
Mailing Address - Country:US
Mailing Address - Phone:314-985-9144
Mailing Address - Fax:
Practice Address - Street 1:950 SE REGATTA DR # 101
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5451
Practice Address - Country:US
Practice Address - Phone:360-679-1039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009025709225XP0200X
WA00001583225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics