Provider Demographics
NPI:1700823309
Name:HAMILTON, THOMAS AQUINOS (LPT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:AQUINOS
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 MENTOR AVE
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-3105
Mailing Address - Country:US
Mailing Address - Phone:440-354-5643
Mailing Address - Fax:440-354-5645
Practice Address - Street 1:263 MENTOR AVE
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3105
Practice Address - Country:US
Practice Address - Phone:440-354-5643
Practice Address - Fax:440-354-5645
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-04912225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist