Individual
MS. WENDY ANN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1705 JESS PARRISH CT, TITUSVILLE, FL 32796-2158
(321) 269-5720
Mailing address
3128 SIR HAMILTON CIR, TITUSVILLE, FL 32780-4962
(407) 233-5244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13989
FL
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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