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Individual
WILLIAM JAMES INGERLY
Active
Individual
WILLIAM JAMES INGERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019023
MI
225200000X
Physical Therapy Assistant
L2259117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2259117
LICENSE #
MI
Enumeration date
07/25/2013
Last updated
05/24/2024
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