Individual
MRS. MARIANN INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
291 SPRINGFIELD ST, CHICOPEE, MA 01013-2837
(413) 265-2318
Mailing address
36 EASTON ST, GRANBY, MA 01033-9518
(413) 467-3532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
518
MA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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