ANTHONY WAYNE INGRAM

HUDSON, FL
NPI1740414788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT 13188)
Enumeration Date2009-05-05
Last Update Date2009-05-05
Business Address
-- ANTHONY WAYNE INGRAM MS, OTR/L
6009 SEA RANCH DR APT. 302
HUDSON, FL 34667-4545
Phone number: 954-591-2520
Mailing Address
-- ANTHONY WAYNE INGRAM MS, OTR/L
6009 SEA RANCH DR APT. 302
HUDSON, FL 34667-4545
Phone number: 954-591-2520