Individual
TARAH INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
326 S 9TH ST, SUNNYSIDE, WA 98944-1570
(509) 836-4835
Mailing address
326 S 9TH ST, SUNNYSIDE, WA 98944-1570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60183595
WA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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