Provider Demographics
NPI:1699007138
Name:HAMILTON, LINDSAY E (MSOT)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:E
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 PINE FORERST ROAD
Mailing Address - Street 2:APARTMENT NUMBER 10208
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534
Mailing Address - Country:US
Mailing Address - Phone:850-529-8465
Mailing Address - Fax:
Practice Address - Street 1:8800 PINE FOREST RD
Practice Address - Street 2:APARTMENT 10208
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-5309
Practice Address - Country:US
Practice Address - Phone:850-529-8465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13973225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist