Individual
ANGELA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8745 BLACKBIRD LN, THORNVILLE, OH 43076-9515
(740) 246-5483
Mailing address
PO BOX 273, 8745 BLACKBIRD LANE, THORNVILLE, OH 43076-0273
(740) 246-5483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10100
OH
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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