Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | PT15802 | FL |
NPI | 1033325691 |
---|---|
Provider Name | Mrs. Christine Bachman Ingram |
First Address | Ocala, FL 34471-2729 |
Second Address | Ocala, FL 34471-9144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |