Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 119962 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 119962 | TX |
NPI | 1184284200 |
---|---|
Provider Name | Lindsey Beth Ham |
First Address | Addison, TX 75001-4761 |
Second Address | Frisco, TX 75034-9580 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2019 |
Last Update Date | 20/06/2019 |