Individual
SASHA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4088
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1649
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56555
—
ND
Enumeration date
09/26/2014
Last updated
04/12/2017
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