Individual
VICTORIA ANN HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
210 DAVIS DR, WEST PLAINS, MO 65775-2241
(417) 256-2152
Mailing address
210 DAVIS DR, WEST PLAINS, MO 65775-2241
(417) 256-2152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1999138129
MO
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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