Individual provider · Type 1 NPI

Jamillah Ingram

Physical Therapy Assistant · Riverdale, GA

NPI number 1366972127 Active

Practice location

315 Upper Riverdale Rd.
Riverdale, GA 30274

Mailing address

315 Upper Riverdale Rd SW
Riverdale, GA 30274-2500

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA001638 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1366972127

Jamillah Ingram's National Provider Identifier is 1366972127, issued on Jun 14, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Riverdale, GA. The record was last updated on Jun 14, 2017.