Individual
MRS. AMBER DYAN BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016013016
MO
225200000X
Physical Therapy Assistant
66 009768
NY
Other
Enumeration date
01/15/2015
Last updated
02/08/2017
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