Individual
ANTHONY WAYNE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
6009 SEA RANCH DR, APT. 302, HUDSON, FL 34667-4545
(954) 591-2520
Mailing address
6009 SEA RANCH DR, APT. 302, HUDSON, FL 34667-4545
(954) 591-2520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 13188
FL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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