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Individual
ROBIN A INGRAHAM
Active
Individual
ROBIN A INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128226
LABOR & INDUSTRY
WA
01
—
5085695
AETNA
WA
01
—
7491IN
REGENCE BLUE SHIELD
WA
05
—
8336463
—
WA
01
—
8928858
L&I CRIME VICTIMS
WA
01
—
911745305-98252-B003
TRICARE
WA
01
—
Q4WYR1
EMPIRE BC,BS
WA
Enumeration date
06/08/2006
Last updated
10/10/2007
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