Basic Information
| Provider Information | |||||||||
| NPI: | 1396166872 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMILTON | ||||||||
| FirstName: | KRISTI | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Credential: | COTA/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1008 BECHTEL ST | ||||||||
| Address2: | |||||||||
| City: | MONACA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150611732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303987607 | ||||||||
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| Practice Location | |||||||||
| Address1: | 257 GEORGETOWN RD | ||||||||
| Address2: | |||||||||
| City: | BEAVER FALLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150109740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7248468200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/30/2013 | ||||||||
| LastUpdateDate: | 12/30/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | OP005935 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | 224Z00000X | OTA-03219 | OH | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.