Individual
EMMA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 PARKER DR, BRADYVILLE, TN 37026-5020
(931) 247-8532
Mailing address
830 PARKER DR, BRADYVILLE, TN 37026-5020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3815
TN
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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