Individual
AMY B INGEBRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 304-5837
Mailing address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(704) 372-3870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6738
NC
Other
Enumeration date
12/16/2008
Last updated
08/13/2015
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