Individual
SCOTT DAVID INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
54 W LONGVIEW AVE, COLUMBUS, OH 43202-1061
(614) 832-7364
Mailing address
54 W LONGVIEW AVE, COLUMBUS, OH 43202-1061
(614) 832-7364
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT.008780
OH
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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