Individual
MARK A HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
132 REDAR DR, SCHERERVILLE, IN 46375-2030
(219) 743-1976
Mailing address
132 REDAR DR, SCHERERVILLE, IN 46375-2030
(219) 743-1976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000696
IL
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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