Individual
ELIZABETH DANIELLE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 NW CLIFF VIEW DR, RIVERSIDE, MO 64150-1237
(816) 741-5105
Mailing address
6705 NW HIDDEN VALLEY RD, PARKVILLE, MO 64152-1205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015019461
MO
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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