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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIJAH INGRUM

Active

ELIJAH INGRUM is a Physical Therapy Assistant healthcare provider located in SAN DIEGO, California. NPI 1124566328 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN DIEGO, CA

Registration Details

NPI Number
1124566328
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2017 (9.5195760293095 yrs)
Last Updated
Feb 8, 2017
License
292757 (CA)

Practice Information

Address
10325 SPRUCE GROVE AVE
SAN DIEGO, CA, 921312218
Browse CA providers · Browse ZIP 92131
Phone
8583352682
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAN DIEGO, CA

Name Credential NPI
JAMES WRAY P.T. 1942203328
MR. NORMAN G. HARDMAN PT 1306840657
MS. GLORIA THERESA SIGAFOOS PT OCS CHT 1851392120
CHRISTI LEE DUFFIELD PT 1750366845
LYNN STEIGERWALD PT 1841275922
SEAN MICHAEL MCKEOWN PHYSICAL THERAPIST 1902881881
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.