Individual
MR. ROBERT DEVIN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3660 CENTRAL AVE, COLUMBUS, IN 47203-4621
(812) 418-8146
Mailing address
950 COTTONWOOD DR, COLUMBUS, IN 47203-1013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002355A
IN
Other
Enumeration date
06/17/2012
Last updated
06/17/2012
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