Ingraham, Tammy Lynn

Ingraham, Tammy Lynn is an individual health care provider with primary practice located at 3 115Th St Apt 3 , Troy NY 12182-2631. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Ingraham, Tammy Lynn can be contacted via phone (518) 312-3776.

Contact Information

Primary practice address
3 115Th St Apt 3 Troy NY 12182-2631
Phone: (518) 312-3776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 002723-1 New York

Profile Details

NPI number 1063710572
LBN Legal business name Ingraham, Tammy Lynn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Mar 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063710572 NPPES
New York Other 002723-1 NYS P.T.A LICENCE

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