Individual
GRACE L INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BRIMFIELD DR, APT A8, KENT, OH 44240-6972
(913) 800-0341
Mailing address
1300 BRIMFIELD DR, APT A8, KENT, OH 44240-6972
(913) 800-0341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
10/07/2013
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