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Susan Ingram, LPTA
NPI 1427693126 · on the registry since 2019
Practice
- Address
- 911 Stacey Burk Dr
Flora, IL 62839 - Phone
- (618) 292-4655
- Organisation at this address
- County Of Clay
County Of Clay
County Of Clay
County Of Clay
County Of ClayInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1704 Summers End Ln, Fenton, MO
- W N 12th St, Shelbyville, IL
- 208 Zachery Dr, Mount Vernon, IL
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois