Basic Information
Provider Information
NPI: 1336524347
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON-COTTER
FirstName: ALEXANDRA
MiddleName:  
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Mailing Information
Address1: 800 CRESCENT CENTRE DR
Address2: SUITE 600
City: FRANKLIN
State: TN
PostalCode: 370677269
CountryCode: US
TelephoneNumber: 6156561350
FaxNumber: 6159219054
Practice Location
Address1: 313 MANUFACTURERS RD
Address2: SUITE 215
City: CHATTANOOGA
State: TN
PostalCode: 374053274
CountryCode: US
TelephoneNumber: 4236341922
FaxNumber: 4236341924
Other Information
ProviderEnumerationDate: 07/21/2015
LastUpdateDate: 07/21/2015
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
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IsSoleProprietor: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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