STACEY INGRAM

PALM HARBOR, FL
NPI1942639737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT20309)
Enumeration Date2013-11-02
Last Update Date2015-11-25
Business Address
-- STACEY INGRAM
34990 US HWY 19 NORTH
PALM HARBOR, FL 34684
Phone number: 727-210-0760
Mailing Address
-- STACEY INGRAM
34990 US HIGHWAY 19 N
PALM HARBOR, FL 34684-1920
Phone number: 727-210-0760