Individual provider · Type 1 NPI

Kyle Ingram, OTR

Occupational Therapist · Roseburg, OR

NPI number 1336479989 Active

Practice location

470 NE Stephens St, Suite 102
Roseburg, OR 97470-3158

Fax (541) 673-5774

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X579 (OR)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1336479989

Kyle Ingram, OTR's National Provider Identifier is 1336479989, issued on Jan 4, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Roseburg, OR. The record was last updated on Nov 1, 2016.