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SAMUEL INGRAM, PT

PT

Physical Therapist

NPI: 1710009733IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

1166119(TX)11-04512(KS)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2005

Contact & Hours

Address
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208

Quick Facts

NPI
1710009733
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
21

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