Provider Demographics
NPI:1477860161
Name:HAMONTREE, STEVEN EDWARD (CPO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:EDWARD
Last Name:HAMONTREE
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 GROVE RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4600
Mailing Address - Country:US
Mailing Address - Phone:864-370-2010
Mailing Address - Fax:864-370-1611
Practice Address - Street 1:1009 GROVE RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4600
Practice Address - Country:US
Practice Address - Phone:864-370-2010
Practice Address - Fax:864-370-1611
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter