Individual
MYCA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5899 BREMO RD, RICHMOND, VA 23226-1935
(804) 285-2645
Mailing address
6127 ROLFE AVE, NORFOLK, VA 23508-1025
(760) 730-2505
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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