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Individual

KEILAH INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3057 LORNA RD STE 220, VESTAVIA HILLS, AL 35216-4518
(205) 583-2883
(205) 968-4157
Mailing address
6157 CROWNE FALLS PKWY, HOOVER, AL 35244-3081
(678) 761-3479

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5247
AL
225XP0200X
Pediatric Occupational Therapist
5247
AL

Other

Enumeration date
07/03/2020
Last updated
07/03/2020
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