NPI 1013471069

Carlos Lamont Hamilton

Practitioner Athletic Trainer Detroit, MI

Practice location

Address: 927 E Grand Blvd, Detroit, MI 48207-1964
Phone: (313) 922-0037
Mailing address: 20008 Kelly Rd, Harper Woods, MI 48225-1919

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AS820269496 (MI)

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1013471069
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2019
Record last updated: 24 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.