Individual
KRISTIN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 W 28TH AVE, COVINGTON, LA 70433-1466
(985) 898-3329
Mailing address
2 OAKLAWN DR, COVINGTON, LA 70433-4510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01684
LA
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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