Individual
KELLEY INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13446
NC
225100000X
Physical Therapist
40160
CA
225100000X
Physical Therapist
Primary
6546
SC
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
Update your record
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