Individual
YVETTE M INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LAT, ATC
Contact information
Practice address
115 WILLIS HEALTH PROFESSIONS BUILDING, LOCK HAVEN UNIVERSITY, LOCK HAVEN, PA 17745-1212
(570) 660-0738
Mailing address
115 WILLIS HEALTH PROFESSIONS BUILDING, LOCK HAVEN UNIVERSITY, LOCK HAVEN, PA 17745-1212
(570) 660-0738
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001325A
PA
Other
Enumeration date
06/16/2006
Last updated
08/12/2013
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