MARK A HAM

SCHERERVILLE, IN
NPI1386116457
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160000696)
Enumeration Date2018-12-29
Last Update Date2018-12-29
Business Address
MARK A HAM PTA
132 REDAR DR
SCHERERVILLE, IN 46375-2030
Phone number: 219-743-1976
Mailing Address
MARK A HAM PTA
132 REDAR DR
SCHERERVILLE, IN 46375-2030
Phone number: 219-743-1976
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