Organization
TRACY INGRAM MCGOWAN
Active
Other names
Therapeutic Concepts
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PAULINE INGRAM (OWNER)
(252) 633-6335
Entity
Organization
Contact information
Practice address
1030 BROAD CREEK RD, NEW BERN, NC 28560-7102
(252) 633-6335
Mailing address
1030 BROAD CREEK RD, NEW BERN, NC 28560-7102
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
Other
Enumeration date
06/11/2007
Last updated
12/29/2009
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