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1326144122
LISA INGRAM
TALLADEGA, AL
NPI
1326144122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL 397)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- LISA INGRAM LPTA
727 STONE AVE
TALLADEGA, AL 35160-2218
Phone number: 256-362-9477
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Mailing Address
-- LISA INGRAM LPTA
1837 PLEASANT RIDGE DR
SYLACAUGA, AL 35150-1761
Phone number: 256-249-3594
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