Individual
HIRAM TAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3200 25TH ST, COLUMBUS, IN 47203-2970
(785) 443-5434
Mailing address
3200 25TH ST, COLUMBUS, IN 47203-2970
(785) 443-5434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1702906
KS
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
31006136A
IN
Other
Enumeration date
10/24/2013
Last updated
11/11/2021
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