Individual
MARISSA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
910 E CHURCH ST, MARION, OH 43302-4317
(740) 387-3300
Mailing address
2790 NEIDHART RD, MARION, OH 43302-8443
(740) 251-3752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012813
OH
Other
Enumeration date
11/06/2013
Last updated
09/13/2024
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