Individual
MARY ELAINE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
87 FENTON ST, SUITE 106, LIVERMORE, CA 94550-4100
(925) 373-9394
(925) 373-2876
Mailing address
87 FENTON ST, SUITE 106, LIVERMORE, CA 94550-4100
(925) 373-9394
(925) 373-2876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3335
CA
Other
Enumeration date
08/31/2006
Last updated
12/05/2007
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