Individual
MRS. LORI MARIE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
587 NORTH DEER ISLE RD, ISLAND NURSING HOME, DEER ISLE, ME 04627
(207) 348-2351
(207) 348-6154
Mailing address
PO BOX 5, 396 SUNSET RD, SUNSET, ME 04683-0005
(207) 348-6187
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0A1383
ME
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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