Provider Demographics
NPI:1588176283
Name:HAMILTON, DANIEL KEITH (OT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:KEITH
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 LA TERRACE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-5354
Mailing Address - Country:US
Mailing Address - Phone:209-751-7927
Mailing Address - Fax:
Practice Address - Street 1:1150 TILTON DR
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2440
Practice Address - Country:US
Practice Address - Phone:408-735-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist