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1679628804
DIANA INGRAM
PORT ORCHARD, WA
NPI
1679628804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008192)
Enumeration Date
2007-01-25
Last Update Date
2007-07-25
Business Address
-- DIANA INGRAM P.T.
1400 POTTERY AVE
PORT ORCHARD, WA 98366-3711
Phone number: 360-895-5000
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Mailing Address
-- DIANA INGRAM P.T.
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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