Doctor Name: | MS. TRACY HAMON |
NPI Number: | 1750358578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | |
Business Practice Address: | 602 S 42nd St Mount Vernon, IL - 628646264 |
Business Phone Number: | 6182421100 |
Business Fax Number: | 6182445148 |
Mailing Address: | 1639 W Willow Brook Dr, NASHVILLE |
State: | IL |
Postal Code: | 622631391 |
Phone Number: | 6183279216 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |