Individual
MRS. JOANN MARIE INGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
2495 MAIN ST, SUITE 234, BUFFALO, NY 14214-2152
(716) 836-5929
(716) 836-6057
Mailing address
2495 MAIN ST, SUITE 234, BUFFALO, NY 14214-2152
(716) 836-5929
(716) 836-6057
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
014239-1
NY
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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