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Individual

ERIC LEE INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1135 EXPRESSWAY DR, SUITE 100 B, PINEVILLE, LA 71360-6653
(318) 487-6525
(318) 487-6527
Mailing address
5307 ADAMS RD, BALL, LA 71405-3660
(318) 518-8911

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/10/2013
Last updated
05/10/2013
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