Provider Demographics
NPI:1114246451
Name:HAM CHI, OLGA
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:HAM CHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1388 NW BOCA RATON BLVD
Mailing Address - Street 2:STE # 2
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1631
Mailing Address - Country:US
Mailing Address - Phone:561-367-1207
Mailing Address - Fax:
Practice Address - Street 1:1388 NW BOCA RATON BLVD
Practice Address - Street 2:STE # 2
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1631
Practice Address - Country:US
Practice Address - Phone:561-367-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1837227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified