Individual
MRS. DEBORAH SUE HAM
Active
Individual
MRS. DEBORAH SUE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189666
DEPT OF LABOR & INDUSTRY
WA
01
—
4531917
AETNA
—
Enumeration date
09/26/2006
Last updated
07/08/2007
Update your record
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