LEVI INGRAM

KOKOMO, IN
NPI1750076212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001851A)
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
LEVI INGRAM
2312 S DIXON RD STE 250
KOKOMO, IN 46902-6426
Phone number: 765-459-7275
Mailing Address
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931 LIVE OAK CT
KOKOMO, IN 46901-0701
Phone number: 765-210-4899