MRS. Jamillah Ingram

NPI #1366972127 in Riverdale, Georgia

Provider Information

NPI Number: 1366972127
Entity Type: Individual
Name: MRS. Jamillah Ingram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 14, 2017
Last Updated: Jun 14, 2017

Practice Location

Address: 315 UPPER RIVERDALE RD.
City: Riverdale
State: Georgia
ZIP Code: 30274
Phone: (404) 788-0255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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