Grace L Ingraham

NPI #1164855888 in Kent, Ohio

Provider Information

NPI Number
1164855888
Entity Type
Individual
Name
Grace L Ingraham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Aug 16, 2013
Last Updated
Oct 7, 2013

Practice Location

Address
1300 BRIMFIELD DR
Address 2
APT A8
City
Kent
State
Ohio
ZIP Code
44240-6972
Phone
(913) 800-0341

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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