Individual
MICHAEL JOHN ROY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2490 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3150
(719) 630-8888
Mailing address
2490 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3150
(719) 630-8888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0014206
CO
225100000X
Physical Therapist
12258
AZ
Other
Enumeration date
02/27/2018
Last updated
03/02/2018
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