Individual
MS. CARRIE ANN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
130 UNDERHILL RD, BEEBE, AR 72012-9751
(501) 882-6660
Mailing address
2001 QUALITY DR APT G10, SEARCY, AR 72143-8379
(870) 759-1426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A652
AR
Other
Enumeration date
06/16/2011
Last updated
10/01/2012
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