Individual
JACQUELINE NAOMI HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
106 S HOLMEN DR, HOLMEN, WI 54636-9467
(608) 526-9888
Mailing address
N12545 CTY RD G, NECEDAH, WI 54646
(608) 565-7708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1756-19
WI
Other
Enumeration date
07/07/2011
Last updated
07/26/2017
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