Provider Demographics
NPI:1619746641
Name:HAMILTON, PAIGE (OTD,OTR/L)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:OTD,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14549 BERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:ELKWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:22718
Mailing Address - Country:US
Mailing Address - Phone:540-272-3053
Mailing Address - Fax:
Practice Address - Street 1:173 KEITH STREET
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186
Practice Address - Country:US
Practice Address - Phone:888-271-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119010251225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist