Individual
HOLLY INGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19623 APPLEWOOD CT, PARKER, CO 80138-8074
(816) 803-6251
Mailing address
19623 APPLEWOOD CT, PARKER, CO 80138-8074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9072
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20527373
—
CO
Enumeration date
11/08/2006
Last updated
07/08/2007
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