MEDICARE: ENYA VAN HAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	44265	FL
2	225100000X	Physical Therapist	305267	CA

General Provider Information

NPI Number	:	1205603404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENYA VAN HAM

Provider Business Mailing Address
First Line	:	418 ARABIAN ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-4201
Country	:	US
Telephone Number	:	408-439-6433
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 SILVER AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-1510
Country	:	US
Telephone Number	:	415-334-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2023
Last Update Date	:	04/16/2026

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Directions to “ ENYA VAN HAM ” Practice Location

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