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Individual

MRS. DIANE SHIRLEY MORLEDGE HAM

Active
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Individual

MRS. DIANE SHIRLEY MORLEDGE HAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
278
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
278
MONTANA STATE LICENSE
MT
Enumeration date
02/18/2009
Last updated
02/18/2009
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