Individual
DARIUS INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
10648 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-2000
Mailing address
10648 PARK RD, CHARLOTTE, NC 28210-8407
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
10770
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10770
NCBOT
NC
Enumeration date
04/17/2020
Last updated
04/17/2020
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