MISS KANEISHA INGRAM, COTA

Occupational Therapy Assistant

Active Individual
NPI: 1083975320

Practice Address

1873 LONGWOOD DR
Jackson, MS 39212

Phone: (601) 966-2418

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes TA2678 (MS)

Frequently Asked Questions

NPI 1083975320 is the National Provider Identifier for MISS KANEISHA INGRAM, COTA, a Occupational Therapy Assistant provider located in Jackson, MS. This NPI was enumerated on June 4, 2012.
MISS KANEISHA INGRAM, COTA practices at 1873 LONGWOOD DR, Jackson, MS 39212.

Quick Facts

NPI
1083975320
Type
Individual
Enumerated
Jun 4, 2012
Last Updated
Jun 4, 2012

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