Individual
CASEY MARLENE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1441 S MIDLOTHIAN PKWY, MIDLOTHIAN, TX 76065-5591
(972) 723-0380
Mailing address
1441 S MIDLOTHIAN PKWY STE 170, MIDLOTHIAN, TX 76065-5597
(972) 723-0380
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
115307
TX
Other
Enumeration date
01/28/2013
Last updated
08/20/2021
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