Provider Demographics
NPI:1235911538
Name:HAMILTON, KARA (PTA)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:LAMMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:503 SEABURY AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-2216
Mailing Address - Country:US
Mailing Address - Phone:570-529-4401
Mailing Address - Fax:
Practice Address - Street 1:1967 WEST ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4491
Practice Address - Country:US
Practice Address - Phone:410-449-5938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ2-0000992208100000X
MDA-4493208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation