Eleanor Holston Ham, MS, OTRL
Individual provider Active NPI Occupational Therapist · London, KY
NPI 1003037847 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1003037847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 277279 (KY)
- Practice address
- 740 E Laurel Rd
London, KY 40741-8601 - Phone
- (606) 877-3950
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277279 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 277279 | KY | Yes |
Addresses
Primary practice location
740 E Laurel Rd
London, KY 40741-8601
Mailing address
15 Executive Est
London, KY 40744-7894
Phone (606) 224-0353
Other providers in London, KY
- Rachel Fawbush Hacker
- Alisha Hail
- Melissa Marie Hale
- Linda Fay Hall
- Tara Hall
- Cheyenne Mariah Hamblin
- Heather Marie Hammack
- Kyle Thomas Harris
- Joseph Hartfiel
- David J Hays
All providers in London, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.