Individual
KAYLA INGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4122 TERRY DR, CHESAPEAKE, VA 23321-4597
(757) 638-7951
Mailing address
11193 PARK PL, SMITHFIELD, VA 23430-5735
(207) 299-4199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004288
CT
225X00000X
Occupational Therapist
Primary
0119006640
VA
Other
Enumeration date
01/14/2015
Last updated
01/17/2024
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