Provider Demographics
NPI:1558572123
Name:HAMILTON, GERRI ANN (RN, COF, CFOM)
Entity Type:Individual
Prefix:MS
First Name:GERRI
Middle Name:ANN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:RN, COF, CFOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 MERIDIAN PARK BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5789
Mailing Address - Country:US
Mailing Address - Phone:925-827-2500
Mailing Address - Fax:925-827-2503
Practice Address - Street 1:2190 MERIDIAN PARK BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5789
Practice Address - Country:US
Practice Address - Phone:925-827-2500
Practice Address - Fax:925-827-2503
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACFOM0108225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter