Individual
JACQUELINE FAITH INGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 TEN ROD RD STE F101, NORTH KINGSTOWN, RI 02852-4170
(401) 295-2955
Mailing address
1130 TEN ROD RD STE F101, NORTH KINGSTOWN, RI 02852-4170
(401) 295-2955
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT01620
RI
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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