Individual
ZACHARY L INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3109 UNIVERSITY AVE STE C, SELLARO PLAZA, MORGANTOWN, WV 26505-3205
(304) 241-4020
(304) 241-4029
Mailing address
625 LINCOLN AVE, SUITE 107 PROFESSIONAL PLAZA, CHARLEROI, PA 15022-2451
(724) 483-1673
(724) 483-0290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1588
WV
225X00000X
Occupational Therapist
OC012445
PA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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