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Individual

BEVERLY A INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
213 THIRD STREET, JUNEAU, AK 99801
(907) 586-8228
(907) 586-8226
Mailing address
2396 KASEE ANN DR, JUNEAU, AK 99801
(907) 586-8228

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
342
AK

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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