Individual
MYCA J INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5899 BREMO RD STE 100, RICHMOND, VA 23226-1935
(804) 285-2645
(804) 287-2786
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305217743
VA
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
05/29/2026
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