Individual
MISS AMBER STAMENT INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
17051 DALLAS PKWY, STE 450, ADDISON, TX 75001-7109
(214) 272-8561
(469) 941-4002
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1162048
TX
Other
Enumeration date
08/03/2006
Last updated
11/22/2016
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