Individual
MRS. LAUREN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
11434 OVERLAND TRAIL DR, RICHMOND, TX 77406-3987
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
21452
TX
Other
Enumeration date
10/30/2017
Last updated
03/17/2018
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