Most Relevant Information
Provider Data
| NPI Number: | 1003037847 |
| Provider Name: | ELEANOR HOLSTON HAM MS, OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 277279 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 10/02/2023 |
Provider Practice Location
740 E LAUREL RD
LONDON
KY
407418601
Practice Location Phone/Fax
| Phone: | 6068773950 |
| Fax: |
Provider Mailing Location
15 EXECUTIVE EST
LONDON
KY
407447894
Provider Mailing Phone/Fax
| Phone: | 6062240353 |
| Fax: |