Individual
KERRY M HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4446-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457407017
—
WI
Enumeration date
01/26/2007
Last updated
12/18/2020
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