Individual
MRS. JENNIFER ANN INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
76 NORTH ST, MIDDLEBORO, MA 02346-1619
(508) 947-4774
Mailing address
34 CRESCENT ST, KINGSTON, MA 02364-2255
(781) 582-0296
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15789
MA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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