Zachary L Ingram OTR

NPI 1588915946 - Occupational Therapist - 225X00000X

NPI Details
NPI 1588915946
Gender Male
Enumeration Date 09/26/2012
Last Updated 09/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3109 UNIVERSITY AVE STE C
SELLARO PLAZA
MORGANTOWN WV, 26505-3205, US
Phone (304) 241-4020
Fax (304) 241-4029
Business Location
625 LINCOLN AVE
SUITE 107 PROFESSIONAL PLAZA
CHARLEROI PA, 15022-2451, US
Phone (724) 483-1673
Fax (724) 483-0290
Toxanomy
Taxonomy Code 225X00000X
License State Pennsylvania
License Number OC012445
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According to our database, Zachary L Ingram OTR NPI is 1588915946, taxonomy code is 225X00000X and license number is OC012445, license state is located at Pennsylvania. Zachary L Ingram OTR physically located at 3109 University Ave Ste C, Morgantown WV, 26505-3205. NPI Number Zachary L Ingram OTR has the Individual type.

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1588915946 NPI number is provided on an as is basis without warranty of any kind. 1588915946 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary L Ingram OTR are for informational purposes only.