Individual
MRS. ANDREA INGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1206 LARCHWOOD ROAD, FLOURTOWN, PA 19031
(267) 280-7939
Mailing address
1206 LARCHWOOD ROAD, FLOURTOWN, PA 19031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004197
PA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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