Individual
MRS. JOY ELAINE WAUGH INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
78 HANCOCK ST, SUITE 14, BRAINTREE, MA 02184
(781) 380-4831
Mailing address
78 HANCOCK ST, SUITE 14, BRAINTREE, MA 02184
(781) 380-4831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y66566
BCBS
MA
Enumeration date
12/26/2007
Last updated
12/26/2007
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