MARISSA INGRAM

MERIDIAN, ID
NPI1609505155
Former NameMARISSA PANKO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  8076)
Enumeration Date2022-06-09
Last Update Date2025-06-24
Business Address
MARISSA INGRAM DPT
1649 E PINE AVE
MERIDIAN, ID 83642-8135
Phone number: 208-917-2660
Mailing Address
MARISSA INGRAM DPT
2127 S LINDA VISTA PL
BOISE, ID 83709-8246
Phone number:
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